Yus Teuku Muhammad, Jannah Misbahul, Khairunnisa Anindyta Murfia
Department Obstetrics and Gynecology, Faculty of Medicine, Syiah Kuala University, Indonesia.
Department Radiology, Faculty of Medicine, Syiah Kuala University, Indonesia.
Int J Surg Case Rep. 2025 Jun;131:111204. doi: 10.1016/j.ijscr.2025.111204. Epub 2025 Mar 25.
Vaginal agenesis and transverse septa, rare Müllerian anomalies, make surgery challenging. The ideal neovaginoplasty with minimal complications remains uncertain. Hence, we report here an inverted Y-flap neovaginoplasty with an amnion graft for vaginal agenesis.
A 13-year-old girl with cyclic abdominal pain for a year was diagnosed with hematotrachelos, proximal hematocolpos, transverse vaginal septum, and a unicornuate uterus. She underwent Y-flap neovaginoplasty with an amnion graft after hysteroscopy. Discharged on day 5, she had an 8 cm vaginal length with no menstrual obstruction, showing excellent outcomes.
The inverted Y-flap neovaginoplasty is a technique used in neovaginal reconstruction, which utilizes skin from the surrounding area to create a new vaginal cavity with an epithelial lining, maintaining its length. Neovaginoplasty with amnion grafts is a rewarding surgery, particularly in low-resource nations, because of its high success rate and low rates of postoperative discomfort, infection, and scarring.
The inverted Y-flap neovaginoplasty with an amnion graft is a viable option for vaginal agenesis, showing success with minimal complications. Further research can refine surgical protocols.
阴道发育不全和横隔是罕见的苗勒管异常，这使得手术具有挑战性。理想的、并发症最少的新阴道成形术仍不明确。因此，我们在此报告一种用于阴道发育不全的带羊膜移植的倒Y形皮瓣新阴道成形术。
一名13岁女孩，有周期性腹痛一年，被诊断为宫颈积血、近端阴道积血、阴道横隔和单角子宫。她在宫腔镜检查后接受了带羊膜移植的Y形皮瓣新阴道成形术。术后第5天出院，阴道长度为8厘米，无月经梗阻，效果极佳。
倒Y形皮瓣新阴道成形术是一种用于新阴道重建的技术，它利用周围区域的皮肤创建一个有上皮衬里的新阴道腔，并保持其长度。带羊膜移植的新阴道成形术是一种值得做的手术，特别是在资源匮乏的国家，因为其成功率高，术后不适、感染和瘢痕形成的发生率低。
带羊膜移植的倒Y形皮瓣新阴道成形术是治疗阴道发育不全的一种可行选择，并发症最少且取得了成功。进一步的研究可以完善手术方案。
