We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Creatsas Modification of Williams Vaginoplasty.
- Authors
Deligeoroglou, Efthimios; Makrakis, Evangelos; Papagianni, Vassiliki
- Abstract
Vaginal aplasia is a rare congenital anomaly of the female genital tract, which is usually part of the Mayer-Rokitansky-Küster-Hauser syndrome. Creation of a neovagina is mandatory in women carrying the defect, providing capability of sexual relationships and alleviating the psychological impact of the condition. Creatsas modification of Williams vaginoplasty is a surgical technique in which vulval and perineal tissues are used for the creation of a functioning neovagina. The technique was performed in 116 adolescents with excellent results. A neovagina characterized by 10- to 12-cm depth and 5-cm width was created in 97.41% of the patients, whereas the dimensions of the neovagina in the remaining 2.59% of them were 7- to 9-cm depth and 2- to 3-cm width. No wound opening or hemorrhage during the first intercourse was noted postoperatively. A satisfactory sexual life was reported in 94.93% of the treated adolescents and an adequate sexual life in 3.79% in those treated. In conclusion, the Creatsas modification of William's vaginoplasty, compared with other techniques, like the Frank's nonsurgical procedure and the McIndoe operation, is an effective and safe method for the creation of a functioning neovagina in young women with vaginal aplasia.
- Subjects
VAGINOPLASTY; MALE-to-female surgery; PRIMARY amenorrhea; PEDIATRIC gynecology; VAGINA
- Publication
Journal of Gynecologic Surgery, 2003, Vol 19, Issue 3, p121
- ISSN
1042-4067
- Publication type
Article
- DOI
10.1089/104240603770191050