title: Transretropubic traction vaginoplasty for correction of vaginal aplasia.
abstract: OBJECTIVE
  To introduce an alternative approach to vaginoplasty using transretropubic traction (TRT).
  
  
  METHODS
  In this case series with 4 patients with complete vaginal aplasia, a plastic "olive" placed on the vaginal dimple was lifted by a mesh tape inserted through the space of Retzius and anchored to the anterior abdominal wall.
  
  
  RESULTS
  On day 8 postoperatively all patients had a reasonable vaginal size, 2.5 to 3 cm in width and 6 to 7.5 cm in length. The mean satisfaction scores were 86 points for the patients and 89 points for their husbands, who also reported a mean penetration score of 90 points.
  
  
  CONCLUSIONS
  As a minimal-access and relatively simple operation, TRT vaginoplasty could be performed by trained gynecologists. Studies with larger populations are required to support this preliminary report.
authors.affiliation: Woman's Health University Center Assiut, Assiut University, Assiut, Egypt. atef_darwish@yahoo.com
authors.forename: Atef Mohammad
authors.initials: AM
authors.lastname: Darwish
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D019736:Prostheses and Implants; D013526:Surgical Mesh; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult