Fine needle vaginoplasty: a simplified novel approach for correction of vaginal aplasia.
OBJECTIVE
To introduce a simple and easy surgical alternative for formation of a neovagina in patients with vaginal aplasia that offers reasonable anatomic and functional results.


METHODS
Case series.


METHODS
University hospital.


METHODS
Three patients with complete vaginal aplasia without uterus.


METHODS
A silicone Foley catheter loaded into distal end of a fine needle and passed extraperitoneally into the space of Retzius followed by its inflation and traction for 8 days.


METHODS
Operative time, complication rate, reintervention rate, width and length of the newly formed vagina, and postoperative feasibility of intravaginal sexual intercourse.


RESULTS
The results were satisfactory: normal length and width of neovagina, no complications, and normal sexual life within 7 to 8 days after surgery.


CONCLUSIONS
Fine needle vaginoplasty is a simple, fast, safe, and available extraperitoneal procedure for correction of vaginal aplasia. It can be done easily by any gynecologist aware of the anatomy of the retropubic space.
Woman's Health University Center, Assiut University, Assiut, Egypt. atef_darwish@yahoo.com
Atef Mohammad
AM
Darwish
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D009339:Needles; D010865:Pilot Projects; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult