Application of Creatsas vaginoplasty after radical surgical treatment of sarcoma botryoides.
BACKGROUND
Sarcoma botryoides of the female genital tract is a rare malignancy. For many years, treatment consisted of radical procedures involving removal of the vagina, cervix, and uterus. Reconstructive surgery is essential for these patients, in order to achieve vaginal penetrative sexual intercourse.


METHODS
A 17-year-old adolescent, with medical history of surgical excision of uterus and vagina at the age of 2, due to sarcoma botryoides, underwent Creatsas vaginoplasty. A neovagina with adequate dimensions to allow comfortable sexual intercourse was created, without the need for postoperative dilations and without any complications.


CONCLUSIONS
Creatsas vaginoplasty can be safely performed in patients with medical history of radical pelvic surgery, while other more invasive techniques may carry an increased risk of intra- or postoperative complications.
Division of Pediatric, Adolescent Gynecology and Reconstructive Surgery, 2(nd) Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital, Athens, Greece. Electronic address: deligeoroglou@yahoo.gr.
Efthimios
E
Deligeoroglou
Division of Pediatric, Adolescent Gynecology and Reconstructive Surgery, 2(nd) Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital, Athens, Greece.
Pandelis
P
Tsimaris
Division of Pediatric, Adolescent Gynecology and Reconstructive Surgery, 2(nd) Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital, Athens, Greece.
Maria
M
Creatsa
Division of Pediatric, Adolescent Gynecology and Reconstructive Surgery, 2(nd) Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital, Athens, Greece.
Nikolaos
N
Athanasopoulos
Division of Pediatric, Adolescent Gynecology and Reconstructive Surgery, 2(nd) Department of Obstetrics and Gynecology, University of Athens, Medical School, "Aretaieion" Hospital, Athens, Greece.
George
G
Creatsas
D000293:Adolescent; D002675:Child, Preschool; D003075:Coitus; D005260:Female; D006801:Humans; D007044:Hysterectomy; D012208:Rhabdomyosarcoma / Q000188:drug therapy / Q000601:surgery*; D019738:Surgically-Created Structures; D014621:Vagina / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000188:drug therapy / Q000601:surgery*
Neovagina; Reconstructive Surgery; Rhabdomyosarcoma; Vaginal Raconstruction; Vaginal Restoration; Vaginectomy