Modified balloon vaginoplasty: the fastest way to create a natural: minor changes in technique eliminate the need for customized instruments.
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.
El Saman
Ali M
AM
Department of Obstetrics and Gynecology, Assiut University, Assiut, Egypt.
Fathalla
Mohamed M F
MM
Zakherah
Mahmoud S
MS
Shaaban
Omar M
OM
Nasr
Ahmed
A
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