title: Laparo endoscopic single site balloon vaginoplasty (LESS-BV).
abstract: OBJECTIVE
  To evaluate feasibility, advantages, and disadvantages of the laparo-endoscopic single site surgery (LESS) technique for balloon vaginoplasty (BV).
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Tertiary care facility.
  
  
  RESULTS
  LESS-BV was successfully performed in 6 patients with Mullerian aplasia and one with androgen insensitivity syndrome (AIS). Patients presented with failure of intravaginal intercourse and/or dyspareunia. The procedure was performed successfully in conjunction with gonadectomy for the AIS case. The total operative time was 50-75 minutes. No operative complications were reported. Postoperative pain scores ranged from 0 to 2 points at rest and from 20 to 60 points during dressing change, increasing distension, and traction. The depths of the constructed neovaginas measured up to 12.8 cm. Sexual intercourse was initiated on the day of catheter removal. Penetrations and satisfactions scores increased to up 90 points for both partners.
  
  
  CONCLUSIONS
  LESS-BV is technically feasible. LESS-BV allows better, stronger midline and long traction pass along the anatomic longitudinal axis of the hypoplastic vagina. Surgical outcomes should be compared prospectively to conventional laparoscopic BV.
authors.affiliation: Women's Health University Hospital, Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
authors.forename: Ali M
authors.initials: AM
authors.lastname: El Saman
authors.forename: Dina M
authors.initials: DM
authors.lastname: Habib
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ibrahim
authors.forename: Mostafa
authors.initials: M
authors.lastname: Kamel
authors.forename: Nichole
authors.initials: N
authors.lastname: Barker
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Bedaiwy
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery*; D000293:Adolescent; D013734:Androgen-Insensitivity Syndrome / Q000601:surgery*; D002404:Catheterization / Q000379:methods*; D015331:Cohort Studies; D000013:Congenital Abnormalities / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009095:Mullerian Ducts / Q000002:abnormalities / Q000601:surgery; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*; D055815:Young Adult