Ultrasound imaging to evaluate Creatsas vaginoplasty.
OBJECTIVE
To present a new imaging technique for the evaluation of the functional effectiveness of Creatsas vaginoplasty.


METHODS
Eighteen women with Mayer-Rokitansky-Kuster-Hauser syndrome underwent a transabdominal and transperineal ultrasound examination 4 weeks and 6 months after the surgical creation of a neovagina, and then yearly, with a condom filled with water as a distending and imaging medium. The functional length and width of the neovagina and its axis deviation were assessed, as well as the postoperative quality of the women's sexual life.


RESULTS
A functional vagina 10 to 12 cm in length and 4 to 5 cm in width was observed; its axis deviation, which was similar to the anatomic deviation, was easily determined; and 94.5% of the women reported a satisfactory while 5.5% reported an adequate sexual life.


CONCLUSIONS
This new imaging technique is a simple and effective alternative for the evaluation of the postoperative effectiveness of colpopoiesis.
Botsis
D
D
Second Department of Obstetrics and Gynecology, University of Athens, Medical School, Aretaieion Hospital, Athens, Greece.
Deligeoroglou
E
E
Christopoulos
P
P
Aravantinos
L
L
Papagianni
V
V
Creatsas
G
G
D000293:Adolescent; D000328:Adult; D019160:Endosonography / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013577:Syndrome; D016896:Treatment Outcome; D014564:Urogenital Abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery*