Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer-Rokitansky-Küster-Hauser syndrome.
OBJECTIVE
Evaluation of the Creatsas modification of Williams vaginoplasty for the creation of neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome).


METHODS
Record of perioperative and postoperative results and complications. Follow-up evaluations of patients yearly after the operation.


METHODS
Division of Pediatric-Adolescent Gynecology and Gynecologic Corrective Surgery, University of Athens (tertiary referral center).


METHODS
One hundred eleven patients with MRKH syndrome.


METHODS
Surgical creation of neovagina using the Williams vaginoplasty technique (group A: 10 patients) or the Creatsas modification of the previous method (group B: 101 patients).


METHODS
Length and width of the neovagina, and the quality of sexual life postoperatively.


RESULTS
A functioning vagina of 10 to 12 cm depth and 5 cm width was created in eight of the patients in group A (80%) and in 98 of those in group B (97.02%). A vagina of 7 to 9 cm depth and 2 to 3 cm width was created in the rest of the patients in both groups. In group A, two wound openings were reported (20%); in two of the patients hemorrhage occurred during the first intercourse, compared to none in group B. A satisfactory sexual life was reported from 94.4% of the patients and an adequate one from 4.16% of them.


CONCLUSIONS
The Creatsas modification of Williams vaginoplasty is a simple and effective technique for the creation of a functioning neovagina in young women with vaginal aplasia.
Creatsas
G
G
2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece. geocre@aretaieio.uoa.gr
Deligeoroglou
E
E
Makrakis
E
E
Kontoravdis
A
A
Papadimitriou
L
L
D000293:Adolescent; D000328:Adult; D003075:Coitus; D005260:Female; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D011184:Postoperative Period; D019738:Surgically-Created Structures; D013577:Syndrome; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery*