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Use of infragluteal folds as a full‐thickness skin graft donor site for construction of the neovagina in cases of Mullerian agenesis
Author(s) -
Özyazgan İrfan,
Yontar Yalcin,
Aygen Ercan M.,
Aydin Ahmet
Publication year - 2018
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13752
Subject(s) - medicine , vaginoplasty , surgery , agenesis , scars , vagina , skin grafting , demographics , demography , sociology
Aim The aims of this study were to present the results of using infragluteal folds as a skin graft donor site in cases of Mullerian agenesis undergoing full‐thickness skin graft vaginoplasty and to evaluate the outcomes of the surgical technique. Methods Demographics and clinical parameters of 24 consecutive Mullerian agenesis patients refusing any dilatational procedure and undergoing neovaginal construction using infragluteal folds skin grafts from May 2004 to July 2015 were analyzed. Results The mean age of the patients was 21.5 ± 5.7 years. Five patients had nonfunctional rudimentary uterus, one patient had unilateral ovarian agenesis, one patient had unilateral renal agenesis, and one had undergone a previous vaginoplasty. There were no serious complications needing surgical or medical intervention. The depth of the neovagina in patients with a follow‐up period of more than 6 months ( n = 17) varied from 7 to 12 cm. Of these patients, the sexually active ones ( n = 8) did not complain of dyspareunia or vaginal dryness during sexual intercourse. The resulting scars were satisfactory and acceptable for all patients. Conclusion It has been our practice to use infragluteal folds as a skin graft donor site for full‐thickness skin graft vaginoplasty. We believe that the results of this study demonstrate that this area is versatile and an excellent alternative to the groins and lower abdomen. Further clinical and histomorphological investigations are necessary for strong statements and results.