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Vulvo-perineoplasty/Creatsas Vaginoplasty

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Female Genital Tract Congenital Malformations

Abstract

Aim: To describe the technique of Creatsas vaginoplasty. Brief description of the reviewed data: Mayer- Rokitansky- Kuster- Hauser (MRKH) syndrome is a rare congenital abnormality of the female genital tract. It is characterized by aplasia of the uterus and the upper two-thirds of the vagina. The syndrome is caused by embryologic growth failure of the Mullerian ducts, with an incidence of almost one in 4,000 female newborns. Clinical implications: Clinical examination, pelvic, and renal ultrasound as well as laparoscopy confirm the diagnosis of the syndrome. Creatsas vaginoplasty is a simple, quick and effective vulvo-perineoplasty for reconstruction of vaginal aplasia. According to our results published recently, a functioning vagina of 10–12 cm in depth and 5 cm in width, is created in 95.5 % of the cases. In addition, almost all cases declared themselves to have a satisfactory quality of sexual life, while less than 5 % of the cases report an adequate one. Open issues for further research: Further research is needed to clarify the origin of genital tract congenital anomalies.

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Correspondence to George Creatsas MD, PhD, FACS, FRCOG, FACOG .

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© 2015 Springer-Verlag London

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Creatsas, G., Creatsa, M. (2015). Vulvo-perineoplasty/Creatsas Vaginoplasty. In: Grimbizis, G., Campo, R., Tarlatzis, B., Gordts, S. (eds) Female Genital Tract Congenital Malformations. Springer, London. https://doi.org/10.1007/978-1-4471-5146-3_17

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  • DOI: https://doi.org/10.1007/978-1-4471-5146-3_17

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5145-6

  • Online ISBN: 978-1-4471-5146-3

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