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Transretropubic traction vaginoplasty for correction of vaginal aplasia
Author(s) -
Darwish Atef Mohammad
Publication year - 2009
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.2009.07.028
Subject(s) - medicine , vaginoplasty , surgery , aplasia , vagina , traction (geology) , geomorphology , geology
Objective To introduce an alternative approach to vaginoplasty using transretropubic traction (TRT). Methods In this case series with 4 patients with complete vaginal aplasia, a plastic “olive” placed on the vaginal dimple was lifted by a mesh tape inserted through the space of Retzius and anchored to the anterior abdominal wall. Results On day 8 postoperatively all patients had a reasonable vaginal size, 2.5 to 3 cm in width and 6 to 7.5 cm in length. The mean satisfaction scores were 86 points for the patients and 89 points for their husbands, who also reported a mean penetration score of 90 points. Conclusion As a minimal‐access and relatively simple operation, TRT vaginoplasty could be performed by trained gynecologists. Studies with larger populations are required to support this preliminary report.