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Laparoscopically assisted balloon vaginoplasty for management of vaginal aplasia
Author(s) -
El Saman A.M.,
Fathalla M.M.F.,
Nasr A.M.,
Youssef M.A.
Publication year - 2007
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2007.04.013
Subject(s) - medicine , vaginoplasty , introitus , surgery , vagina , balloon , urethroplasty , urethra
Objective : To report the intra‐operative and post‐operative results of laparoscopically assisted balloon vaginoplasty, a new technique for management of vaginal aplasia. Methods : Eight women with vaginal aplasia due to Mullerian agenesis who were referred for apareunia, dyspareunia. All had a poor penetration score and sexual satisfaction score. A Foley's catheter was laparoscopically inserted in the space between the urethra and rectum. Gradual traction and distension were used to create a neovagina. Outcomes measured were intra‐operative complications, post‐operative complications, length of the neovagina and post‐operative complications and sexual satisfaction score in both partners. Results : Mean operative time was 25.5 +/− 5.5 min. No operative complications were recorded. Pain scores ranged from zero to 30 points at rest and from 30 to 60 points during dressing, traction and distension. Penetration and satisfaction scores increased significantly after the operation. Conclusions Balloon vaginoplasty is a simple, safe and satisfactory technique for management of blind vagina.