Functional outcome of Horton's vaginoplasty.
OBJECTIVE
To describe the functional results of Horton's vaginoplasty.


METHODS
A descriptive study.


METHODS
Department of Plastic Surgery, Hayatabad Medical Complex, Peshawar. The duration of study was three years from May 1998 to May 2001.


METHODS
During the three years period, 17 patients were operated with congenital vaginal agenesis. Horton's vaginoplasty with full thickness skin grafts was performed in all these patients. Patients with a follow-up of less than 6 months were excluded from the study. Sexual assessment was done in married patients after Horton's vaginoplasty. These patients were categorized into four categories according to their sexual experience.


RESULTS
Functional assessment revealed excellent sexual relations in 36.36%, good in 45.45% and satisfactory in 18.18% patients. Vaginal stenosis and loss of graft take was observed in 5.8% patients. The average depth of vagina was 8.5 cm. The width was two fingers in 64.70% and three fingers in 29.41% patients.


CONCLUSIONS
Horton's vaginoplasty is a versatile, single-stage procedure, with minimal donor site morbidity. The reconstructed vagina is excellent both in function and cosmesis.
Department of Plastic Surgery, Postgraduate Medical Institute, Hayatabad Medical Complex, Peshawar. millard@psh.paknet.com.pk
Tahmeedullah
Amir Taimur
AT
Khan
Obaidullah
D000293:Adolescent; D000328:Adult; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*