Laparoscopic sigmoid vaginoplasty: a salvage option for genitourinary fistula after failed McIndoe's repair.
46, XX Disorders of Sex Development
/ diagnosis
Adolescent
Adult
Colon, Sigmoid
/ surgery
Congenital Abnormalities
/ diagnosis
Female
Gynecologic Surgical Procedures
/ adverse effects
Humans
Intraoperative Complications
/ diagnosis
Laparoscopy
/ methods
Mullerian Ducts
/ abnormalities
Plastic Surgery Procedures
/ methods
Reoperation
/ methods
Salvage Therapy
/ methods
Surgically-Created Structures
Treatment Outcome
Urethra
/ injuries
Urinary Bladder
/ injuries
Vagina
/ abnormalities
Vesicovaginal Fistula
/ diagnosis
obstetrics, gynaecology and fertility
plastic and reconstructive surgery
urinary and genital tract disorders
urological surgery
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
30 Jun 2020
30 Jun 2020
Historique:
entrez:
2
7
2020
pubmed:
2
7
2020
medline:
16
2
2021
Statut:
epublish
Résumé
A 30-year-old woman presented with vesicovaginal fistula after a forceful intercourse. She was diagnosed as a case of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome 14 years ago and had underwent McIndoe's vaginoplasty using amniotic membrane. Similarly, another 14-year-old girl presented with an iatrogenic urethral and bladder neck injury during an attempt at McIndoe's vaginoplasty 4 months ago at another centre leading to urinary fistula with absent vagina. A laparoscopic salvage was done for both the cases along with repair of genitourinary fistula using sigmoid colon. There was no further requirement of vaginal dilation. Both patients remain fully continent at 1 year follow-up. Laparoscopic sigmoid vaginoplasty is a worthy minimally invasive salvage method for the patients of MRKH who develop fistulous complication after a previous attempt at neovagina creation. The bowel wall provides a structurally strong layer to withstand the repeated sexual trauma of the vagina.
Identifiants
pubmed: 32606127
pii: 13/6/e235297
doi: 10.1136/bcr-2020-235297
pmc: PMC7328744
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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