title: Modified balloon vaginoplasty: the fastest way to create a natural: minor changes in technique eliminate the need for customized instruments.
abstract: We studied the feasibility of performing balloon vaginoplasty (BV) with conventional laparoscopic instruments through 2 modified techniques aiming at providing BV for open use. Three of 6 cases with vaginal aplasia were offered modified laparoscopically assisted balloon vaginoplasty (LAB-V) and the other 3 cases underwent modified retropubic balloon vaginoplasty (RBV). We measured operative time, complications, anatomical outcomes, functional outcomes, and re-intervention rates. Modified RBV and LAB-V were performed successfully in the 6 cases within 9-12 and 29-38 min, respectively. The neovagina depths were 8-10 and 9-12 cm, respectively. Anterior rectal wall needle puncture was encountered in 1 case of LAB-V group and posterior urethral wall puncture in an abnormally dilated urethra in 1 case of the RBV group; both cases passed uneventfully. Intercourse was initiated after removal of all catheters. The neovagina was a cosmetically appealing mimic to nature and stained with iodine up to its apex. It was feasible to perform balloon vaginoplasty operations without specialized instrument sets with comparable outcomes.
authors.affiliation: Department of Obstetrics and Gynecology, Assiut University, Assiut, Egypt.
authors.forename: Ali M
authors.initials: AM
authors.lastname: El Saman
authors.forename: Mohamed M F
authors.initials: MM
authors.lastname: Fathalla
authors.forename: Mahmoud S
authors.initials: MS
authors.lastname: Zakherah
authors.forename: Omar M
authors.initials: OM
authors.lastname: Shaaban
authors.forename: Ahmed
authors.initials: A
authors.lastname: Nasr
mesh_terms: D000293:Adolescent; D000328:Adult; D002404:Catheterization; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D014741:Video Recording; D055815:Young Adult