A Comprehensive Review of Vaginoplasty Procedures for Vaginal Agenesis Reconstruction

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Published: Jul 21, 2023
DOI: https://doi.org/10.47191/ijmscrs/v3-i7-27
Keywords:
Vaginoplasty, agenesis vagina reconstruction, congenital vaginal aplasia, neovagina, surgical techniques, outcomes, complications, patient satisfaction.

Main Article Content

Ahmad Fawzy
Department of Surgery, Faculty of Medicine University of Jenderal Soedirman - Margono Soekarjo County Hospital, Indonesia
Alifa Jati Nurul Izza
Faculty of Medicine University of Jenderal Soedirman, Indonesia
Indah Fauziah
Department of Obstetrics and Gynaecology, Kramat 128 Hospital, Indonesia

Abstract

This literature review provides a comprehensive analysis of the vaginoplasty procedure for vaginal agenesis reconstruction. Vaginal agenesis is a rare disorder in which the vagina doesn't develop, and the womb (uterus) may only develop partially or not at all. This congenital condition can significantly impact the quality of life and psychosocial well-being of affected individuals. Vaginoplasty, a surgical technique aimed at creating a neovagina, offers a promising solution for these patients. This review critically examines the existing literature, including studies, case reports, and systematic reviews, to evaluate the various surgical techniques, outcomes, complications, and patient satisfaction associated with vaginoplasty for agenesis vagina reconstruction.

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How to Cite
Ahmad Fawzy, Izza, A. J. N., & Indah Fauziah. (2023). A Comprehensive Review of Vaginoplasty Procedures for Vaginal Agenesis Reconstruction. International Journal of Medical Science and Clinical Research Studies, 3(07), 1378–1389. https://doi.org/10.47191/ijmscrs/v3-i7-27
Issue
Vol. 3 No. 07 (2023): Volume 03 Issue 07 July 2023
Section
Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

References

I. Oelschlager A-MEA. Müllerian agenesis: Diagnosis, management, and treatment [Internet]. The North American Society for Pediatric and Adolescent Gynecology; 2013 [cited 2023 May 22]. Available from:

https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/01/mullerian-agenesis-diagnosis-management-and-treatment

II. Schmitt JJ, Arora C, Gebhart JB. Relieving menstrual obstruction: surgical correction of vaginal agenesis. Int Urogynecol J. 2016 Apr;27(4):641-3.

DOI: 10.1007/s00192-015-2920-5.

III. Skerritt C, Vilanova Sánchez A, Lane VA, Wood RJ, Hewitt GD, Breech LL, Levitt M. Menstrual, Sexual, and Obstetrical Outcomes after Vaginal Replacement for Vaginal Atresia Associated with Anorectal Malformation. Eur J Pediatr Surg. 2017 Dec;27(6):495-502.

DOI: 10.1055/s-0036-1593610.

IV. Dural O, Ugurlucan FG, Yasa C, Bastu E, Eren H, Yuksel B, Celik S, Akhan SE. A Case of Distal Vaginal Agenesis Presenting with Recurrent Urinary Tract Infection and Pyuria in a Prepubertal Girl. J Pediatr Adolesc Gynecol. 2017 Feb;30(1):e7-e10.

DOI: 10.1016/j.jpag.2016.08.007.

V. Weijenborg PTM, Kluivers KB, Dessens AB, Kate-Booij MJ, Both S. Sexual functioning, sexual esteem, genital self-image and psychological and relational functioning in women with Mayer-Rokitansky-Küster-Hauser syndrome: a case-control study. Hum Reprod. 2019 Sep 29;34(9):1661-1673.

DOI: 10.1093/humrep/dez130.

VI. Herlin, M.K., Petersen, M.B. & Brännström, M. Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome: a comprehensive update. Orphanet J Rare Dis 15, 214 (2020). https://doi.org/10.1186/s13023-020-01491-9

VII. Mei L, Zhang H, Chen Y, Niu X. Clinical features of congenital complete vaginal atresia combined with cervical aplasia: A retrospective study of 19 patients and literature review. Congenit Anom (Kyoto). 2021 Jul;61(4):127-132.

DOI: 10.1111/cga.12417.

VIII. Deldar-Pesikhani M, Ghanbari Z, Shahrbabaki FS, Nassiri S, Raznahan M, Shokrpour M. Comparison Of Modified McIndoe And Davydov Vaginoplasty In Patients With Mrkh Syndrome In Terms Of Anatomical Results, Sexual Performance And Satisfaction. Journal of Family Medicine and Primary Care. 2022;11(8): 4614-4618.

DOI: 10.4103/jfmpc.jfmpc_1939_21.

IX. Allahbadia AG, Madkar CS, Deshpande HG, Balkawade NU. Vaginoplasty: A Case Series Comparing Three Different Operative Methods. Indian Journal of Obstetrics and Gynecology Research. 2018;5(1):148-153.

DOI: 10.18231/2394-2754.2018.0033.

X. Leithner K, Naderer A, Hartung D, Abrahamowicz C, Alexopoulos J, Walch K, Wenzl R, Hilger E. Sexual and Psychosocial Functioning in Women with MRKHS after Neovaginoplasty According to Wharton-Sheares-George: A Case Control Study. PLoS One. 2015 Apr 22;10(4):e0124604. DOI: 10.1371/journal.pone.0124604.

XI. Chappell AG, Soriano AJ, Percec I. The Role of Plastic Surgeons in Female Genital Mutilation Reconstructive Surgery. World J Plast Surg. 2021 Jan;10(1):104-107. DOI: 10.29252/wjps.10.1.104.

XII. Shoham M, Pang JH, Satterwhite T. Considerations for secondary vaginoplasty. Transl Androl Urol. 2022 Nov;11(11):1480-1483.

DOI: 10.21037/tau-22-660.

XIII. Van Leeuwen K, Baker L, Grimsby G. Autologous buccal mucosa graft for primary and secondary reconstruction of vaginal anomalies. Semin Pediatr Surg. 2019 Oct;28(5):150843. DOI: 10.1016/j.sempedsurg.2019.150843.

XIV. Linder BJ, Gebhart JB. McIndoe neovagina creation for the management of vaginal agenesis. Int Urogynecol J. 2021 Feb;32(2):453-5. DOI: 10.1007/s00192-020-04425-y.

XV. Romanski PA, Bortoletto P, Pfeifer SM. Creation of a novel inflatable vaginal stent for McIndoe vaginoplasty. Fertil Steril. 2021 Mar;115(3):804-806. DOI: 10.1016/j.fertnstert.2020.09.030

XVI. Teng Y, Zhu L, Chong Y, Zeng A, Liu Z, Yu N, Zhang W, Chen C, Wang X. The Modified McIndoe Method: A Scar-free Surgical Approach for Vaginoplasty With an Autologous Micromucosa Graft. Urology. 2019 Sep;131:240-244. DOI: 10.1016/j.urology.2019.05.020

XVII. Clifford R. Wheeless, Jr., M.D. and Marcella L. Roenneburg, M.D. McIndoe Vaginoplasty for Neovagina. Atlas for Pelvic Surgery. https://atlasofpelvicsurgery.org/2VaginalandUrethra/13McIndoeVaginoplastyforNeovagina/chap2sec13.html

XVIII. Wang YY, Duan H, Zhang XN, Wang S. Neovagina Creation: A Novel Improved Laparoscopic Vecchietti Procedure in Patients with Mayer-Rokitansky-Küster-Hauster Syndrome. J Minim Invasive Gynecol. 2021 Jan;28(1):82-92. DOI: 10.1016/j.jmig.2020.04.006.

XIX. Yang X, Liang J, Li W, Chen B, Sun X, Xie Z. Modified Vecchietti vaginoplasty using self-made single-port laparoscopy in Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril. 2021 Jul;116(1):266-268. DOI: 10.1016/j.fertnstert.2020.10.001.

XX. Yang X, Zhu L, Wang YJ, Tong B, Zhong S, Yang C, Liang J, Jin H, Xie Z. Comparison of the modified laparoscopic Vecchietti and Davydov colpoplasty methods in Mayer-Rokitansky-Küster-Hauser syndrome: A long-term follow-up analysis. J Obstet Gynaecol Res. 2022 Jul;48(7):1930-1937. DOI: 10.1111/jog.15262.

XXI. Fedele L, Frontino G, Restelli E, et al. Creation of a neovagina by Davydov’s laparoscopic modified method in patients with Rokitanskysyndrome. Am J Obstet Gynecol 2010;202:33.e1-6.

XXII. Baldwin JF. XIV. The formation of an artificial vagina by intestinal transplantation. Ann Surg. 1904;40(3):398–403.

XXIII. Kisku, S., Varghese, L., Kekre, A. et al. Bowel vaginoplasty in children and young women: an institutional experience with 55 patients. Int Urogynecol J 26, 1441–1448 (2015). https://doi.org/10.1007/s00192-015-2728-3

XXIV. Wang, J., Wei, G., Yi, Z., Liu, M., Wu, W., Hu, W., Zheng, J., Yao, X. and Li, Y. (2021), Total laparoscopic sigmoid vaginoplasty: a novel therapeutic approach. ANZ Journal of Surgery, 91: E20-E24. https://doi.org/10.1111/ans.15786

XXV. Kisu I, Iida M, Nakamura K, Banno K, Shiraishi T, Tokuoka A, Yamaguchi K, Tanaka K, Iijima M, Senba H, Matsuda K, Hirao N. Laparoscopic Vaginoplasty Procedure Using a Modified Peritoneal Pull-Down Method with Uterine Strand Incision in Patients with Mayer-Rokitansky-Küster-Hauser Syndrome: Kisu Modification. J Clin Med. 2021 Nov 25;10(23):5510. DOI: 10.3390/jcm10235510

XXVI. Cheikhelard A, Bidet M, Baptiste A, Viaud M, Fagot C, Khen-Dunlop N, Louis-Sylvestre C, Sarnacki S, Touraine P, Elie C, Aigrain Y, Polak M; French MRKH Study Group. Surgery is not superior to dilation for the management of vaginal agenesis in Mayer-Rokitansky-Küster-Hauser syndrome: a multicenter comparative observational study in 131 patients. Am J Obstet Gynecol. 2018 Sep;219(3):281.e1-281.e9.

DOI: 10.1016/j.ajog.2018.07.015.

XXVII. Borruto F, Chasen ST, Chervenak FA, Fedele L. The Vecchietti procedure for surgical treatment of vaginal agenesis: comparison of laparoscopy and laparotomy. Int J Gynaecol Obstet. 1999 Feb;64(2):153-8.

DOI: 10.1016/s0020-7292(98)00244-6.

XXVIII. Özkan Ö, Özkan Ö, Çinpolat A, Doğan NU, Bektaş G, Dolay K, Gürkan A, Arıcı C, Doğan S. Vaginal reconstruction with the modified rectosigmoid colon: surgical method, long-term results and sexual outcomes. J Plast Surg Hand Surg. 2018 Aug;52(4):210-216.

OI: 10.1080/2000656X.2018.1444616.

XXIX. Minami C, Tsunematsu R, Hiasa K, Egashira K, Kato K. Successful Surgical Treatment for Congenital Vaginal Agenesis Accompanied by Functional Uterus: A Report of Two Cases. Gynecol Minim Invasive Ther. 2019 Apr-Jun;8(2):76-79.

DOI: 10.4103/GMIT.GMIT_124_18.

XXX. Meltzer, T. Vaginoplasty Procedures, Complications and Aftercare. 2016. University of California, San Francisco. https://transcare.ucsf.edu/guidelines/vaginoplasty.

XXXI. Gundeti MS, Kumar R, Mohammad M. Robotic assisted ileo-vaginoplasty for vaginal atresia. J Pediatr Urol. 2021 Apr;17(2):273-274.

DOI: 10.1016/j.jpurol.2021.01.023.

XXXII. Henckes NAC, Faleiro D, Chuang LC, Cirne-Lima EO. Scaffold strategies combined with mesenchymal stem cells in vaginal construction: a review. Cell Regen. 2021 Aug 2;10(1):26. DOI: 10.1186/s13619-021-00088-2.

XXXIII. Zhu L, Zhou H, Sun Z, Lou W, Lang J. Anatomic and sexual outcomes after vaginoplasty using tissue-engineered biomaterial graft in patients with Mayer-Rokitansky-Küster-Hauser syndrome: a new minimally invasive and effective surgery. J Sex Med. 2013 Jun;10(6):1652-8.

DOI: 10.1111/jsm.12143.

XXXIV. Chappell AG, Soriano AJ, Percec I. The Role of Plastic Surgeons in Female Genital Mutilation Reconstructive Surgery. World J Plast Surg. 2021 Jan;10(1):104-107. DOI: 10.29252/wjps.10.1.104.