Creation of a neovagina after Creatsas modification of Williams vaginoplasty for the treatment of 200 patients with Mayer-Rokitansky-Kuster-Hauser syndrome

Fertility and Sterility
George CreatsasPanagiotis Christopoulos

Abstract

To present and evaluate the results of the Creatsas modification of Williams vaginoplasty for the creation of a neovagina in young women with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Retrospective study. Division of Pediatric-Adolescent Gynecology and Reconstructive Surgery, Second Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece. Two hundred patients with the MRKH syndrome. Clinical examination, pelvic ultrasound, intravenous urography and/or renal ultrasound, laparoscopy, karyotyping, orthopedics and ears, nose, and throat examination, magnetic resonance imaging, and Creatsas modification of Williams vaginoplasty. Neovaginal functional dimentions, neovaginal axis deviation, and quality of sexual life. A functioning vagina of 10-12 cm in depth and 5 cm in width was created in 191 cases (95.5%). A vagina between 7 and 9 cm in depth and 2 and 3 cm in width was created for the remaining nine patients (4.5%). In addition, 94.5% declared themselves to have a satisfactory quality of sexual life, while only 5% of the cases reported an adequate one. Creatsas modification of Williams vaginoplasty is a simple, quick, and effective method for the treatment of vaginal agenesis.

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Citations

Oct 29, 2010·International Journal of Pediatric Endocrinology·Ganka DouglasV Reid Sutton
Feb 11, 2014·BMC Women's Health·Flora BacopoulouEfthimios Deligeoroglou
Oct 12, 2013·International Urogynecology Journal·Sarah K McQuillan, Sonia R Grover
May 21, 2014·Journal of Pediatric and Adolescent Gynecology·Efthimios DeligeoroglouGeorge Creatsas
Feb 18, 2014·International Urogynecology Journal·Sarah K McQuillan, Sonia R Grover
Dec 26, 2012·Reproductive Biomedicine Online·Keliang WuZi-Jiang Chen
Aug 1, 2013·The Journal of Sexual Medicine·Münire Erman AkarOmer Gecici
Apr 17, 2012·Reproductive Biomedicine Online·Xinyue ChangZi-Jiang Chen
Nov 6, 2015·Human Reproduction Update·Pedro Acién, Maribel Acién
Jun 21, 2014·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·David S Bombard, Shaker A Mousa
Jan 17, 2012·Fertility and Sterility·Caroline CarrardDaniel Raudrant
May 14, 2017·Journal of Minimally Invasive Gynecology·Bethany Skinner, Elisabeth H Quint
Apr 24, 2017·Archives of Gynecology and Obstetrics·Souzana ChousseinKonstantinos P Economopoulos
Jul 1, 2014·Expert Review of Endocrinology & Metabolism·Lawrence C Layman
Aug 21, 2020·Orphanet Journal of Rare Diseases·Morten Krogh HerlinMats Brännström
May 18, 2011·Fertility and Sterility·Jinlong MaZi-Jiang Chen
Dec 20, 2011·Fertility and Sterility·Yujie DangZi-Jiang Chen

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