Late postoperative urinary stress incontinence after a laparoscopic-assisted Vecchietti procedure for neovagina creation in a patient with Rokitansky syndrome: Successful treatment with the TVT-O technique

Transretropubic traction vaginoplasty for correction of vaginal aplasia

“…Moreover, it lifts the posterior urethrovesical angle, making it more obtuse, with the possible consequence of causing stress incontinence later on (the posterior traction on the urethral supports also placing the patient at higher risk for stress incontinence). Moreover, a change in the pelvic floor balance has been suspected [12]. In contrast, as the present study suggests, TRT vaginoplasty disturbs neither the urethral support nor the urethrovesical angle.…”

“…The novel form of vaginoplasty presented in this study couples the advantages of the Vecchietti vaginoplasty, which does not require laparoscopy, and the TVT procedure, which, unlike the Vecchietti vaginoplasty, does not increase the risk of stress incontinence [12]. In contrast to the straight, sharp needle used in the Vecchietti vaginoplasty, the sharp, cutting, curved needle specially designed for this study proved to be suitable for entering the retropubic space and greatly facilitated the TRT procedure.…”

A new era for treating vaginal aplasia using transretropubic balloon vaginoplasty approach

“…It may even add support to the bladder neck, although for a short period. This technical point is considered as an additional advantage of the retropubic approach over transabdominal conventional or even laparoscopic vaginoplasty, as previously discussed (6,10).…”

Balloon Vaginoplasty: A Revolutionary Approach for Treating Vaginal Aplasia

“…Moreover, it lifts the posterior urethrovesical angle, making it more obtuse, with the possible consequence of causing stress incontinence later on (the posterior traction on the urethral supports also placing the patient at higher risk for stress incontinence). Furthermore, a change in the pelvic floor balance has been suspected (40). Another problem with the Vecchietti vaginoplasty is the use of a special abdominal traction device for a few days (41).…”

“…Advantages: TRT vaginoplasty seems to be superior as it does not depend on endoscopy, does not require dissecting the rectovesical space or the vaginal dimple, and is performed relatively quickly. Moreover, the risk of stress incontinence is still present in patients undergoing balloon vaginoplasty because of the posterior traction exerted on the vaginal dimple (62 …”