Woman's Health University Center, Assiut University, Assiut, Egypt.
Fertil Steril. 2010 Jun;94(1):309-12. doi: 10.1016/j.fertnstert.2009.02.006. Epub 2009 Apr 2.
To introduce a simple and easy surgical alternative for formation of a neovagina in patients with vaginal aplasia that offers reasonable anatomic and functional results.
Case series.
University hospital.
PATIENT(S): Three patients with complete vaginal aplasia without uterus.
INTERVENTION(S): A silicone Foley catheter loaded into distal end of a fine needle and passed extraperitoneally into the space of Retzius followed by its inflation and traction for 8 days.
MAIN OUTCOME MEASURE(S): Operative time, complication rate, reintervention rate, width and length of the newly formed vagina, and postoperative feasibility of intravaginal sexual intercourse.
RESULT(S): The results were satisfactory: normal length and width of neovagina, no complications, and normal sexual life within 7 to 8 days after surgery.
CONCLUSION(S): Fine needle vaginoplasty is a simple, fast, safe, and available extraperitoneal procedure for correction of vaginal aplasia. It can be done easily by any gynecologist aware of the anatomy of the retropubic space.
为阴道发育不全的患者介绍一种简单易行的外科方法来形成新阴道，该方法可获得合理的解剖和功能效果。
病例系列研究。
大学医院。
3 例完全性阴道发育不全无子宫患者。
将装有硅胶 Foley 导管的细针经腹膜外腔送入 Retzius 间隙，然后充气并牵引 8 天。
手术时间、并发症发生率、再次干预率、新形成阴道的宽度和长度，以及术后阴道内性交的可行性。
结果满意：新阴道长度和宽度正常，无并发症，术后 7 至 8 天即可正常进行性生活。
细针阴道成形术是一种简单、快速、安全、可行的经腹膜外途径治疗阴道发育不全的方法。任何熟悉耻骨后间隙解剖结构的妇科医生都可以轻松完成。
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