[Natural latex (Hevea brasiliensis) mold for neovaginoplasty].
OBJECTIVE
to evaluate the use of natural latex mold (Hevea brasiliensis) as a modification of McIndoe and Bannister neovaginoplasty in patients presenting Mayer-Rokitansky-Küster-Hauser (MKRH) syndrome.


METHODS
we retrospectively included nine patients presenting MKRH syndrome, who had been submitted to McIndoe and Bannister neovaginoplasty modified by the use of natural latex mold. Neovaginal epithelization and depth, coitus occurrence and satisfaction, and surgical complications were evaluated.


RESULTS
five weeks after the procedure, eight patients presented an epithelized 7 to 12 cm deep neovagina. There was one case of complete neovaginal stenosis, because of incorrect use of the mold. After at least one year, the others maintained 4 to 8 cm deep neovaginas and capacity for intercourse, with 66.7% satisfaction. One woman presented precocious rectovaginal fistula and late episodes of uretrovaginal fistulae. Two patients presented distal neovaginal stenosis in long-term follow-up. One of these and the patient with fistulae were submitted to a new procedure.


CONCLUSIONS
the use of natural latex mold as a modification of classic neovaginoplasty technique allows the creation of neovaginas morphologically and functionally similar to the normal vagina in patients with vaginal agenesis.
Carvalho
Bruno Ramalho de
BR
Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Reis
Rosana Maria dos
RM
Coutinho Netto
Joaquim
J
Moura
Marcos Dias de
MD
Nogueira
Antônio Alberto
AA
Ferriani
Rui Alberto
RA
D000293:Adolescent; D000328:Adult; D004867:Equipment Design; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D028482:Hevea; D006801:Humans; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013577:Syndrome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult