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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References
Capraro VJ, Gallego MB. Vaginal agenesis. Am J Obstet Gynecol. 1976;124:98–107.
Creatsas G, Deligeoroglou E, Makrakis E, Kontoravdis A, Papadimitriou L. Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril. 2001;76:1036–40.
Creatsas G, Deligeorolgou E, Christopoulos P. Creation of a neovagina after Creatsas modification of Williams vaginoplasty for the treatment of 200 patients with Mayer- Rokitansky- Kuster- Hauser syndrome. Fertil Steril. 2010;94(5):1848–52.
Deligeoroglou E, Christopoulos P, Creatsas G. A unique case of descending salpingitis and functioning endometrium in a Mullerian remnant in a woman with Mayer-Rokitansky-Kuster-Hauser syndrome. Fertil Steril. 2005;83:1547–8.
Botsis D, Deligeoroglou E, Christopoulos P, Aravantinos L, Papagianni V, Creatsas G. Ultrasound imaging to evaluate Creatsas vaginoplasty. Int J Gynaecol Obstet. 2005;89:31–4.
Deligeoroglou E, Kontoravdis A, Makrakis E, Christopoulos P, Kountouris A, Creatsas G. Development of leiomyomas on the uterine remnant of two women with Mayer-Rokitansky-Kuster-Hauser syndrome. Fertil Steril. 2004;81:1385–7.
Marques Hde S, dos Santos FL, Lopes-Costa PV, dos Santos AR, da Silva BB. Creation of a neovagina in patients with Rokitansky syndrome using peritoneum from the pouch of Douglas: an analysis of 48 cases. Fertil Steril. 2008;90:827–32.
Cai B, Zhang JR, Xi XW, Yan Q, Wan XP. Laparoscopically assisted sigmoid colon vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome: feasibility and short-term results. BJOG. 2007;114:1486–92.
Laggari V, Diareme S, Christogiorgos S, Deligeoroglou E, Christopoulos P, Tsiantis J, et al. Anxiety and depression in adolescents with polycystic ovary syndrome and Mayer-Rokitansky-Küster-Hauser syndrome. J Psychosom Obstet Gynaecol. 2009;30(2):83–8.
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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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