Division of Pediatric-Adolescent Gynecology & Reconstructive Surgery, 2nd Department Obstetrics/Gynecology, University of Athens, Aretaieion Hospital, 76 Vas. Sophias Av., Athens 115 28, Greece.
Best Pract Res Clin Obstet Gynaecol. 2010 Apr;24(2):185-91. doi: 10.1016/j.bpobgyn.2009.11.002. Epub 2010 Jan 20.
Congenital vaginal agenesis, with a prevalence of 1 in 4000 females, occurs mainly as a feature of the Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Management of patients with MRKH syndrome includes, along with the proper psychological support, the creation of a neovagina to give them the opportunity to have a normal sexual life. Both surgical and non-surgical techniques have been suggested during the past century, for neovagina creation. Among them, the most widespread non-surgical techniques performed are the Frank technique and its modification by Ingram, while the surgical techniques include the McIndoe operation, the Vechietti procedure and its laparoscopic modification and the Williams vaginoplasty and its Creatsas modification. The Creatsas vaginoplasty is a simple, fast and safe technique that has been performed in 178 patients in our Institution over the past 22 years and has provided excellent results in the vast majority of patients.
先天性阴道发育不全，女性患病率为 1/4000，主要作为梅耶尔-罗基坦斯基-库斯特-豪泽尔（MRKH）综合征的一个特征出现。MRKH 综合征患者的管理包括提供适当的心理支持，以及创造一个新阴道，使她们有机会过上正常的性生活。在过去的一个世纪中，已经提出了许多用于创造新阴道的手术和非手术技术。其中，应用最广泛的非手术技术是 Frank 技术及其由 Ingram 改良的技术，而手术技术则包括 McIndoe 手术、Vechietti 手术及其腹腔镜改良术式以及 Williams 阴道成形术及其 Creatsas 改良术式。Creatsas 阴道成形术是一种简单、快速且安全的技术，在过去的 22 年中，我们机构对 178 名患者进行了该手术，绝大多数患者都取得了极好的效果。
