The formation of an artificial vagina without operation

Frank, Robert T.

doi:10.1016/s0002-9378(38)90400-4

Cited by 459 publications

(188 citation statements)

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“…The non operative technique which is known as Frank procedure can be used when a vaginal dimple or pouch is present and involves a progressive mechanical dilation using graduated hard dilators to create a progressive invagination of the vaginal dimple (11). Other surgical techniques reported depended on the creation of a perineal cleavage covered by a selected tissue.…”

Section: Discussionmentioning

confidence: 99%

Surgical and functional outcomes of sigmoid vaginoplasty among patients with variants of disorders of sex development

2012

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PURPOSE:To assess the use of sigmoid colon in vaginal reconstruction of some patients with disorders of sex development. MATERIALS AND METHODS: The study included 31 patients with disorders of sex development of various causes. All were reared as females. Female gender was decided for all cases after complete medical assessment. All patients underwent sigmoid vaginoplasty. Assessment of surgical and functional outcomes was carried out in a follow up period of up to 6 years. RESULTS: The preoperative diagnoses included mullerian aplasia (16 cases), androgen insensitivity syndrome (12 cases) and previous failed vaginoplasty (3 cases). Associated surgical procedures were gonadectomy in 5 cases and gonadectomy combined with clitoroplasty and vulvoplasty in 7 cases. No intra-operative or early postoperative complications occurred. A cosmetic neovagina with adequate size was achieved in all cases. Long term follow up showed introital stenosis in 4 cases (12.9 %). Two of them responded to vaginal dilatation. The third one needed y-v plasty while the fourth one presented by acute abdomen secondary to ruptured vagina and was submitted to urgent laparotomy. Mucosal prolapse occurred in 1 case (3.2%). Reoperation rate was 9.6%. Sexual satisfaction was achieved among 9 sexually active cases. The subjective satisfaction score of the surgical outcome was 8.03. CONCLUSIONS: For patients with disorders of sex development of various etiologies, sigmoid vaginoplasty is the preferred technique for vaginal replacement. It is a safe technique that provides the patient with a cosmetic neovagina of adequate caliber and a satisfactory functional outcome

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Section: Discussionmentioning

confidence: 99%

Surgical and functional outcomes of sigmoid vaginoplasty among patients with variants of disorders of sex development

2012

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“…There are professionals who use non-surgical treatments such as the Frank's dilators [18]; however, despite being less invasive, it cannot be used in all patients as it requires that the vagina has at least four centimeters. On the other hand, the technique used in the present study can be used in all patients.…”

Section: Discussionmentioning

confidence: 99%

Vaginoplasty using Inguinal Flap in a Tertiary Care Center

2017

International Journal of Research Studies in Biosciences

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“…First line treatment for neovaginal reconstruction in individuals with a vaginal dimple of 3-4 cm is the Frank's technique, a non-operative forceful dilatation of the vaginal introitus [2,6]. The anatomic and functional success of this method ranges from 43% to 100% respectively and requires long term catheterization and highly motivated patients [7].…”

Section: Discussionmentioning

confidence: 99%

“…The most common non-surgical technique used for vaginal construction is Frank's method, which requires long term dilatation [2]. Surgical methods include Vecchietti technique, a laparotomic surgical variant of Frank's method, Abbe-McIndoe procedure using pudental thigh or peritoneal flap or buccal mucosa and finally intestinal transplant methods [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Introito-cervical sigmoid colon transpositioning procedure

et al. 2010

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AbstractThe reported incidence of vaginal agenesis varies from 1 in 4,000 to 1 in 80,000 and individuals with congenital absence of vagina usually are first seen by a gynecologist at ages 14 to 15 years, when the absence of menses causes concern. A colon-introitus anastomosis was performed with interrupted absorbable sutures after opening peritoneum on müllerien dimple by sharp dissection using a guide inserted through the created perineo-abdominal tunnel. A rare case of vaginal agenesis with a septate uterus and normal tubes and ovaries is reported. Sigmoid vaginoplasty seemed the most appropriate procedure for the case and the continuity of the genital tract was well established as the patient menstruated vaginally after the operation.

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The formation of an artificial vagina without operation

Cited by 459 publications

References 0 publications

Surgical and functional outcomes of sigmoid vaginoplasty among patients with variants of disorders of sex development

Surgical and functional outcomes of sigmoid vaginoplasty among patients with variants of disorders of sex development

Vaginoplasty using Inguinal Flap in a Tertiary Care Center

Introito-cervical sigmoid colon transpositioning procedure

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