Transretropubic traction vaginoplasty for correction of vaginal aplasia.
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.
Darwish
Atef Mohammad
AM
Woman's Health University Center Assiut, Assiut University, Assiut, Egypt. atef_darwish@yahoo.com
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