Fine needle vaginoplasty: a simplified novel approach for correction of vaginal aplasia.

OBJECTIVE

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.

DESIGN

Case series.

SETTING

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.