当前位置： SCI文献检索 > FERTILITY AND STERILITY期刊下所有文献 > Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer-Rokitansky-Küster-Hauser syndrome.

Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer-Rokitansky-Küster-Hauser syndrome.

Abstract：

OBJECTIVE:Evaluation of the Creatsas modification of Williams vaginoplasty for the creation of neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome). DESIGN:Record of perioperative and postoperative results and complications. Follow-up evaluations of patients yearly after the operation. SETTING:Division of Pediatric-Adolescent Gynecology and Gynecologic Corrective Surgery, University of Athens (tertiary referral center). PATIENT(S):One hundred eleven patients with MRKH syndrome. INTERVENTION(S):Surgical creation of neovagina using the Williams vaginoplasty technique (group A: 10 patients) or the Creatsas modification of the previous method (group B: 101 patients). MAIN OUTCOME MEASURE(S):Length and width of the neovagina, and the quality of sexual life postoperatively. RESULT(S):A functioning vagina of 10 to 12 cm depth and 5 cm width was created in eight of the patients in group A (80%) and in 98 of those in group B (97.02%). A vagina of 7 to 9 cm depth and 2 to 3 cm width was created in the rest of the patients in both groups. In group A, two wound openings were reported (20%); in two of the patients hemorrhage occurred during the first intercourse, compared to none in group B. A satisfactory sexual life was reported from 94.4% of the patients and an adequate one from 4.16% of them. CONCLUSION(S):The Creatsas modification of Williams vaginoplasty is a simple and effective technique for the creation of a functioning neovagina in young women with vaginal aplasia.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Creatsas G,Deligeoroglou E,Makrakis E,Kontoravdis A,Papadimitriou L

doi

10.1016/s0015-0282(01)02836-9

keywords:

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

1036-40

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(01)02836-9

journal_volume

76

pub_type

杂志文章

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