Intestinal vaginoplasty: seven years' experience of a tertiary center

dc.authorid0000-0002-3166-9052en_US
dc.contributor.authorKarateke, Ates
dc.contributor.authorHaliloglu, Berna
dc.contributor.authorParlak, Onur
dc.contributor.authorCam, Cetin
dc.contributor.authorCoksuer, Hakan
dc.date.accessioned2024-07-12T21:46:59Z
dc.date.available2024-07-12T21:46:59Z
dc.date.issued2010en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractObjective: To investigate the long-term effects of intestinal vaginoplasty in cases with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Design: Prospective study. Setting: Division of Pelvic Reconstructive Surgery, Department of Gynecology and Obstetrics, at a women's and children disease education and research hospital. Patient(s): Between 2003 and 2009, 29 patients with MRKH syndrome underwent intestinal vaginoplasty. Intervention(s): Two of the patients were treated with ileal and 27 with sigmoid vaginoplasty. Main Outcome Measure(s): The age, marital status, associated anomalies, method used for bowel transposition (isoperistaltic/antiperistaltic), type of abdominal incision, and intra-and postoperative complications were evaluated. Result(s): One of the patients for whom ileal vaginoplasty was performed had 40 cm ileal necrosis requiring bilateral ileostomy for 2 months. Introital stenosis was detected in 15 cases (79%) who were unmarried, while none of the married cases had introital stenosis. However, all patients responded to finger-dilatation. All married patients were sexually satisfied after operation. An intraluminal abscess developed in the proximal segment of the neovagina owing to stricture occurring above abdominoperineal tunnel 2 years after operation. In another patient who had a rudimentary uterine horn, hematometra developed 3 years after operation and treated with resection. Conclusion(s): In our experience, sigmoid vaginoplasty seems to be a favorable procedure which provides excellent long-term results for the patients with vaginal agenesis. (Fertil Steril (R) 2010;94:2312-5. (C) 2010 by American Society for Reproductive Medicine.)en_US
dc.identifier.doi10.1016/j.fertnstert.2010.01.004
dc.identifier.endpage2315en_US
dc.identifier.issn0015-0282
dc.identifier.issue6en_US
dc.identifier.pmid20172515en_US
dc.identifier.scopus2-s2.0-78049258263en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2312en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.fertnstert.2010.01.004
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7982
dc.identifier.volume94en_US
dc.identifier.wosWOS:000283441400071en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.relation.ispartofFERTILITY AND STERILITYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01013
dc.subjectSigmoiden_US
dc.subjectilealen_US
dc.subjectvaginoplastyen_US
dc.subjectvaginal agenesisen_US
dc.titleIntestinal vaginoplasty: seven years' experience of a tertiary centeren_US
dc.typeArticle
dspace.entity.typePublication

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