Vaginoplastia com utilização de enxerto de pele da região abdominal inferior

Autor: José Arnaldo de Souza Ferreira
Jazyk: angličtina
Rok vydání: 2003
Předmět:
Zdroj: Revista Brasileira de Ginecologia e Obstetrícia, Vol 25, Iss 1, Pp 17-22 (2003)
Revista Brasileira de Ginecologia e Obstetrícia v.25 n.1 2003
Revista brasileira de ginecologia e obstetrícia
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron:FEBRASGO
ISSN: 0100-7203
Popis: PURPOSE: to present a technique of vaginoplasty and evaluate its results. METHODS: twenty women with congenital absence of the vagina aged between 19 and 39 years were included in the study. They were seen at the Endocrinological Gynecology and Climacteric Clinic of the Obstetrics and Gynecology Department of the Santa Casa of Sao Paulo, between 1989 and 1996. The surgery consisted of the opening of a cavity between the rectum and the bladder and this cavity was lined with a full-thickness skin graft removed from the lower abdominal region and kept in place with the use of a dilatation mold. The donor area was closed by primary suture. RESULTS: morphologically, in 75, 85 and 80% of the cases, the vagina presented a satisfactory epithelial lining, good elasticity and good amplitude, respectively. Functionally, in 80% of the cases both partners considered sexual intercourse satisfactory. CONCLUSIONS: the technique allows the obtention of an adequate vagina from the anatomic and functional point of view, fast healing of the donor area, closed by primary suture with good esthetical aspect and low level of complications.
Databáze: OpenAIRE