Moon Hwa Sook, Koo Jaseong, Lee Hyeyoung, Joo Bo Sun
Center for Minimally Invasive Surgery and Treatment, Department of Obstetrics and Gynecology, Good Moonhwa Hospital, Busan, Republic of Korea.
Department of Urology, Good Moonhwa Hospital, Busan, Republic of Korea.
Gynecol Minim Invasive Ther. 2017 Oct-Dec;6(4):173-177. doi: 10.1016/j.gmit.2017.06.004. Epub 2017 Jul 1.
This study is aimed to introduce a simple neovaginoplasty procedure without significant complications using the spontaneous regenerative ability of labial and vestibular advancement flaps in patients with Müllerian agenesis.
Prospectively collected data of 5 patients with vaginal agenesis due to Müllerian duct abnormality who underwent neovaginoplasty using labial and vestibular advancement flaps were retrospectively reviewed. Operative details, perioperative outcome, complications, length and width of the neovagina, and the postoperative sexual activity were evaluated.
The mean operation time was 48 min (range 30-60 min) and the duration of follow-up ranged from 7 to 50 months. The mean length of the neovagina was 9.6 cm × 3.5 cm and 10.8 cm × 3.5 cm at hospital discharge and at final follow-up, respectively. No significant complications occurred during or after surgery. Epithelialization was completed by 8-20 months and the time to first sexual intercourse ranged from 3 weeks to 27 months and none of the patients experienced any intercourse-related difficulties.
Our neovaginoplasty technique using labial and vestibular advancement flap is simple, safe, minimally invasive and effective while avoiding the morbidity associated with other grafting techniques.
本研究旨在介绍一种简单的新阴道成形术，利用苗勒氏管发育不全患者阴唇和前庭推进皮瓣的自发再生能力，且无明显并发症。
回顾性分析前瞻性收集的5例因苗勒氏管异常导致阴道发育不全并接受阴唇和前庭推进皮瓣新阴道成形术患者的数据。评估手术细节、围手术期结果、并发症、新阴道的长度和宽度以及术后性行为。
平均手术时间为48分钟（范围30 - 60分钟），随访时间为7至50个月。出院时和最终随访时新阴道的平均长度分别为9.6 cm×3.5 cm和10.8 cm×3.5 cm。手术期间或术后未发生明显并发症。上皮化在8 - 20个月内完成，首次性行为时间为3周 - 27个月，所有患者均未出现任何与性交相关的困难。
我们使用阴唇和前庭推进皮瓣的新阴道成形术技术简单、安全、微创且有效，同时避免了与其他移植技术相关的发病率。
