Vaginoplasty: An Innovative Method of Making the Mould
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 1
Abstract
ABSTRACT Introduction: Vaginal agenesis is a rare congenital malformation of female genital tract. It is often associated with other organ anomalies. The patient generally presents with primary amenorrhoea in late puberty or early adolescent age. Various surgical and non-surgical methods have been used to create a functional neovagina. McIndoe’s vaginoplasty with its various modifications has been mentioned in the literature. Putting a graft and usage of a mould in the neovagina are essential for the success of this surgery. Various graft materials as well as various types of moulds have been used by various workers. We have used a different type of mould for this surgery. Aim: To evaluate the success of vaginoplasty in vaginal agenesis and to assess the acceptability and final outcome by the use of the soft mould in the postoperative period. Materials and Methods: In a prospective study, nine patients aged between 14 to 29 years underwent vaginoplasty in our institution from January 2013 to June 2016. A team of gynaecologists, reconstructive and plastic surgeons were involved in management of all the cases. McIndoe technique was adopted for creating the neovaginal space and a split thickness skin graft was used on a specially made mould. The subsequent moulds on removal of the first one with skin graft, we used a soft mould instead of the hard acrylic mould which is generally uncomfortable to the patients. Results: All the nine cases presented were with primary amenorrhoea. Four of them had associated anomalies of kidney besides having hypoplastic uterus. Surgical procedures remained uneventful in immediate and late postoperative period. Skin grafts were well taken in all the cases. Two cases developed vaginal stenosis due to failure to use dilator regularly. However, they improved following resumption of regular use of dilator. Satisfactory intercourse is experienced by the married couple and those who got married subsequently. Conclusion: McIndoe technique of vaginoplasty is simple, minimally invasive and without any significant complications and gives satisfactory coital function. Use of soft mould in the immediate postoperative period is a useful option.
Authors and Affiliations
samar rudra, Sudhir Kumar Mehta, Harkiranpreet Kaur Kalsl, Dr. Isha, Harnoor singh Manesh
Keywords
Related Articles
- EP ID EP523858
- DOI 10.7860/JCDR/2018/27609.11053
- Views 75
- Downloads 0
Diode Laser-Assisted Fibrotomy in the Management of Oral Sub-Mucous Fibrosis: A New Technique in Surgical Management
Oral Sub-Mucous Fibrosis (OSMF) has a high prevalence in the Indian subcontinent and is a matter of grave concern because of its alarming malignant potential. Numerous treatment modalities; from antioxidants, vitamin sup...
Raman Microspectrometry: An Alternative Method of Age Estimation from Dentin and Cementum
Introduction: Raman spectroscopy is simple, quick, sensitive and non destructive form of tissue examination that provides vital data about the structure, molecular composition and interactions within a sample. The human...
A Case Report of Largest Documented Multilocular Cystic Nephroma Removed by Thoracoabdominal Approach
Large renal tumours are not uncommon in developing countries. Enhancing renal tumours are considered to be malignant unless proved otherwise and radical surgical resection remains the mainstay of treatment of such tumour...
A Clinical Audit on Technical Difficulties during Epidural Catheter Placement
ABSTRACT Introduction: Epidural catheter placement is a routinely performed invasive procedure conducted by anaesthesiologist’s world over. A functional epidural catheter improves, not only the quality of anaesthesia but...
Efficacy of Perfusion Computed Tomography (PCT) in Differentiating HighGrade Gliomas from Low Grade Gliomas, Lymphomas, Metastases and Abscess
Introduction: Tumoural angioneogenesis and its quantification are important in predicting the tumour grade and in the management with respect to the treatment available and to assess the response to treatment and the pro...