Novel Neovaginoplasty Using Rudimentary Uterine Horn Serosa and Pelvic Peritoneum as a Graft in Müllerian Anomalies with Vaginal Agenesis

Chyi-Long Lee*, Jiah Min Lee, Chih Hui Lin, Yi Pin Chen, Chen Yin Huang, Pei Shan Lee, Kai Yun Wu, Chih Feng Yen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations

Abstract

Study Objective: To study the outcome of a novel method of laparoscopic neovaginal reconstruction using rudimentary uterine horn serosa and the pelvic peritoneum as a graft. Design: Canadian Task Force classification II-1. Setting: A university hospital. Patients: A retrospective study of 14 patients from 2000 to 2014 of patients with vaginal agenesis who underwent laparoscopic neovagina reconstruction using rudimentary uterine horn serosa and the pelvic peritoneum as a graft. Intervention: Patients with vaginal agenesis associated with müllerian agenesis who requested surgery. Tertiary referral center and laparoscopic unit. The creation of a neovagina using rudimentary uterine horn serosa and the pelvic peritoneum as a graft via a combined laparoscopic and vaginal route. Measurements and Main Results: Data were collected retrospectively including postoperative vaginal length and width, complications, stenosis or reoperations, dyspareunia, and sexual satisfaction. There were no major complications from the surgery with no rectal perforation or bladder or ureteric injury. The postoperative mean (±SD) vaginal length was 6.0±0.7 cm and a width of 2 fingerbreadths. The mean operation time was 142.7±45.9 min. Median blood loss was 100 ml (range: 10 to 300 mL). The mean duration of the hospital stay was 6.6±1.6 days. The follow-up period ranged from 3 to 84 months with a median follow-up of 11 months. Conclusion: Lee's method of neovaginoplasty using rudimentary uterine horn serosa and the pelvic peritoneum as a graft is a good method for neovagina creation with minimal morbidity, fast recovery, and minimal complications. This method results in good anatomic and functional outcome and can be a method that is widely used.

Original languageEnglish
Pages (from-to)657-666
Number of pages10
JournalJournal of Minimally Invasive Gynecology
Volume26
Issue number4
DOIs
StatePublished - 01 05 2019

Bibliographical note

Publisher Copyright:
© 2018 AAGL

Keywords

  • Laparoscopy
  • Lee's neovaginoplasty
  • Müllerian anomaly
  • Pelvic peritoneum
  • Rudimentary uterine horn
  • Uterine serosa
  • Vaginal agenesis

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