Laparoscopic vaginal bead pull-through vaginoplasty technique using dental prosthesis material
Journal Title: Turkish Journal of Obstetrics and Gynecology - Year 2020, Vol 17, Issue 3
Abstract
Objective: Many reconstructive surgical procedures have been described for vaginal agenesis. Almost all are surgically challenging, multistage, time-consuming or leave permanent scars on the abdomen or skin removal areas. The aim of this study was to introduce a simple and cheaper approach for laparoscopic vaginal bead-pull through. Materials and Methods: In this retrospective study, we report a total of six patients with congenital absence of vagina [Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome] who were treated with a laparoscopic vaginal bead pull-through technique between 2018 till 2019 with a dental prosthesis material. Results: Six patients with MRKH syndrome were treated with a laparoscopic vaginal bead pull-through technique. None of the women had any previous treatment. The mean age at the time of surgery was 18.7±3.1 years and mean body mass index was 25 (range, 19-38) kg/m2. None of the patients had any additional malformations. In all patients, normal external genitalia and complete vaginal agenesis were observed during examination. The mean duration of surgery was 72 (range, 55-95) minutes. All patients were discharged on the 3rd postoperative day. No intraoperative complications were encountered. All patients had their urinary catheters removed within 12 hours after surgery. The mean vaginal length at discharge was 10 (range, 8-13) cm and all patients had adequate vaginal diameter, allowing introduction of three fingers easily. At the 12th postoperative month, the mean vaginal length was 9.2±1.6 cm. All patients had complete epithelization. All the women were sexually active one year after surgery. Conclusion: The laparoscopic vaginal bead pull-through technique using dental prosthesis material can provide satisfactory results with shorter surgical time and lower cost.
Authors and Affiliations
Çetin Kılıççı, İlhan Şanverdi, Ezgi Darıcı, Enis Özkaya
Keywords
Related Articles
- EP ID EP688911
- DOI 10.4274/tjod.galenos.2020.39112
- Views 117
- Downloads 0
Increased nuchal translucency and pregnancy outcomes: experience of Başkent University Ankara Hospital
Objective: First trimester nuchal translucency (NT) measurement is considered to be an important tool in antenatal follow-up. This study aimed to evaluate the outcomes of pregnancies with increased NT at Başkent Universi...
Evaluation inflammatory markers of hemogram parameters in primary ovarian insufficiency
Objective: In most of primary ovarian insufficiency (POI) cases, etiologic factors have not been fully elucidated. Recent studies have revealed that inflammatory agents play an important role in the etiopathogenesis of P...
Adenoid cystic carcinoma of Bartholin’s gland diagnosed after lung lobectomy: Review of the literature and a case presentation
Bartholin’s gland was first identified in human female in 1675 by Caspar Bartholin. The Bartholin gland is composed of several epithelial types: The body is mucinous acini, the duct is predominantly transitional epitheli...
Major problems, current characteristics and future career plans of obstetrics and gynecology residents in Turkey
Objective: To evaluate the current problems and future career plans of obstetrics and gynecology residents in Turkey. Materials and Methods: In this cross-sectional study, a survey was conducted with 143 trainees from 2...
The impact of vaginal cone therapy on stress urinary incontinence compared with transobturator tape
Objective: To emphasize the efficiency of vaginal cone (VC) therapy in stress urinary incontinence (SUI) through a comparison with transobturator tape (TOT). Materials and Methods: A prospective randomized controlled st...