Objective: Evaluation of the Creatsas modification of Williams
vaginoplasty for the creation of neovagina in patients with
Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH syndrome).
Design: Record of perioperative and postoperative results and
complications, Follow-up evaluations of patients yearly after the
operation.
Setting: Division of Pediatric-Adolescent Gynecology and Gynecologic
Corrective Surgery, University of Athens (tertiary referral center).
Patient(s) One hundred eleven patients with MRKH syndrome.
Intervention(s): Surgical creation of neovagina using the Williams
vaginoplasty technique (group A: 10 patients) or the Creatsas
modification of the previous method (group B: 101 patients).
Main Outcome Measure(s): Length and width of the neovagina, and the
quality of sexual life postoperatively.
Result(s): A functioning vagina of 10 to 12 cm depth and 5 cm width was
created in eight of the patients in group A (80%) and in 98 of those in
group B (97.02%). A vagina of 7 to 9 cm depth and 2 to 3 cm width was
created in the rest of the patients in both groups. In group A, two
wound openings were reported (20%); in two of the patients hemorrhage
occurred during the first intercourse, compared to none in group B. A
satisfactory sexual life was reported from 94.47o of the patients and an
adequate one from 4.16% of them.
Conclusion(s): The Creatsas modification of Williams vaginoplasty is a
simple and effective technique for the creation of a functioning
neovagina in young women with vaginal aplasia. (C) 2001 by American
Society for Reproductive Medicine
