Vaginoplasty With Full-thickness Mesh Skin Graft for Vaginal Agenesis
Autor: | Guilherme Lang Motta, Lucas Medeiros Burttet, Patric Machado Tavares, Milton Berger, Brasil Silva Neto, Tiago Elias Rosito |
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Rok vydání: | 2016 |
Předmět: |
Adult
medicine.medical_specialty Adolescent Urology 030232 urology & nephrology Congenital Abnormalities 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative results medicine Humans Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Retrospective cohort study Skin Transplantation Plastic Surgery Procedures Surgical Mesh Surgery Sexual intercourse Surgical mesh medicine.anatomical_structure Treatment Outcome Vagina Vaginoplasty Full thickness Female Vaginal agenesis business Follow-Up Studies |
Zdroj: | Urology. 98 |
ISSN: | 1527-9995 |
Popis: | Objective To present a novel technique in reconstructive urology for congenital vaginal agenesis using a full-thickness mesh skin graft and to evaluate the functional capacity for maintenance of satisfactory intercourse. Methods From January 2009 to August 2015, seven patients diagnosed with vaginal agenesis underwent vaginoplasty using a full-thickness mesh graft from lower abdominal skin. Herein, the authors describe the technique and initial results in adult patients. Results The mean hospital stay was 8 days. There were no major complications or need for blood transfusions. The most relevant postoperative result was the functionality of the neovagina and satisfactory donor site results. At 6-month follow-up, all patients reported satisfactory sexual intercourse. The average depth of the vagina was 11.3 cm. There were no significant complications at donor site or at neovagina that needed surgical intervention. Conclusion We obtained positive functional results with minimal donor site morbidity by performing vaginal reconstruction using a full-thickness mesh skin graft. |
Databáze: | OpenAIRE |
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