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Failed vaginoplasty: a successful novel blend of minimally invasive approaches.

Research Authors
El Saman AM1, Abdel-Aleem M, Habibe DM, Aboelhasan AM.
Research Journal
Eur J Obstet Gynecol Reprod Biol.
Research Member
Research Publisher
2012 Jan;160(1):84-7. doi: 10.1016/j.ejogrb.2011.09.044. Epub 2011 Oct 22.
Research Rank
1
Research Vol
2012 Jan;160(1):84-7. doi: 10.1016/j.ejogrb.2011.09.044. Epub 2011 Oct 22.
Research Website
[PubMed - indexed for MEDLINE]
Research Year
2012
Research_Pages
2012 Jan;160(1):84-7. doi: 10.1016/j.ejogrb.2011.09.044
Research Abstract

bstract
OBJECTIVE:

To evaluate outcomes of a novel blend of techniques for treating vaginal contractures secondary to previous conventional constructive surgeries.
STUDY DESIGN:

Balloon vaginoplasty and scar tissue hydrolysis/hydro-disintegrations (BV/STH) were performed for three cases with vaginal scars after previously failed vaginoplasties. The outcomes measured were operative complications, vaginal depths as measured by a calibrated vaginometer, and functional outcomes as measured by changes in the penetration and satisfaction (P/S) scores on a 0-100 point visual analog scale.
RESULTS:

BV/STH was performed successfully for 3 women with previously failed vaginoplasties. They included a case with a previous partial thickness skin grafting, one with previous labial flaps and one with previous amnion membrane graft. Preoperative P/S scores ranged from 20 to 30 points. Initially BV was done in addition to multiple snips of the scar tissue with a 2mm scalpel. No operative complications were reported but we failed to achieve progressive increase in vaginal depth after day 4. Scar tissue was injected with a mixture of lidocaine and normal saline. Progressive increase in depth was dramatically improved after scar hydro-disintegration. The depths of the resultant neovaginas were 10, 11 and 11.6 cm. Postoperative P/S scores increased up to 90.
CONCLUSIONS:

BV/STH was successfully performed as a revision surgery for blind vaginas with fibrosis. This report highlights a wider range of possible applications of balloon vaginoplasty.

Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

PMID:
22019580