Division of Pediatric and Adolescent Gynecology, Departments of OBGYN and Pediatrics, Baylor College of Medicine, Houston, Texas.
J Pediatr Adolesc Gynecol. 2022 Apr;35(2):121-126. doi: 10.1016/j.jpag.2021.10.001. Epub 2021 Oct 20.
To review the currently available methods for surgical and nonsurgical neovaginal creation with an additional focus on situations requiring vaginal stretching, replacement, or augmentation and the management of vaginal stenosis or stricture.
Review of the existing literature METHODS: PUBMED search with key words vaginal agenesis, neovaginal creation, vaginoplasty, vaginal stretching, vaginal augmentation, vaginal stenosis, outcomes of vaginoplasty, Mullerian anomalies, vaginal anomalies RESULTS: The need to perform vaginal stretching, replacement, or augmentation will vary depending on the underlying reproductive tract condition.
A variety of techniques have been described to performed vaginal stretching, replacement, or augmentation. There are risks and benefits to each technique. Vaginal stricture and stenosis remain difficult problems given the high rates of these complications in patients undergoing these procedures. Although several techniques can alleviate this problem, they rely on the thickness of the stenosis and the location of the stenosis within the vagina.
回顾目前可用于手术和非手术新阴道创建的方法，重点关注需要阴道拉伸、替换或增强的情况，以及阴道狭窄或紧缩的处理。
对现有文献的回顾
使用关键词阴道发育不全、新阴道创建、阴道成形术、阴道拉伸、阴道增强、阴道狭窄、阴道成形术结果、苗勒管异常、阴道异常进行 PUBMED 搜索
进行阴道拉伸、替换或增强的需求将根据潜在的生殖道状况而有所不同。
已经描述了多种技术来进行阴道拉伸、替换或增强。每种技术都有其风险和益处。阴道狭窄和紧缩仍然是一个难题，因为这些手术的并发症发生率很高。尽管有几种技术可以缓解这个问题，但它们依赖于狭窄的厚度和狭窄在阴道内的位置。
