Our Summary

This research paper discusses a new, less invasive method for treating a condition called vaginal agenesis, which is when a person is born without a vagina. The technique involves using a balloon catheter (a tube with a small balloon on one end) and special ports created in the belly button.

The catheter is inserted through a support platform and then guided through the belly button into the correct position in the pelvis. The balloon is then inflated and positioned against the area where the vagina would normally be. By pulling on the catheter, the desired vaginal depth is created.

The researchers tested this technique on 22 women between the ages of 17 and 28 who were born without a vagina. The procedure worked well, with no complications during or after surgery. After the procedure, the women had a new vaginal depth of between 9 and 11 centimeters, and their ability to have sexual intercourse improved significantly.

The researchers conclude that this new technique is a safe and effective way to treat vaginal agenesis.

FAQs

  1. What is the new, less invasive method to treat vaginal agenesis?
  2. How effective and safe is this new technique for treating vaginal agenesis?
  3. What were the results of the procedure in the women who were tested?

Doctor’s Tip

A doctor might tell a patient considering vaginoplasty that it is important to thoroughly discuss the procedure, potential risks, and expected outcomes with their healthcare provider. It is also important to follow all pre-operative and post-operative instructions provided by the medical team to optimize the success of the surgery and recovery process. Additionally, patients should be prepared for potential changes in sensation and function following the procedure and may benefit from counseling or support groups to address any emotional or psychological concerns.

Suitable For

Patients who are typically recommended vaginoplasty include individuals with vaginal agenesis, transgender individuals seeking gender-affirming surgery, individuals with vaginal atresia (a condition where the vagina is closed or absent), and individuals seeking to address vaginal laxity or looseness. Additionally, vaginoplasty may be recommended for individuals experiencing vaginal prolapse or other pelvic floor disorders. It is important for patients considering vaginoplasty to consult with a qualified healthcare provider to determine if they are a suitable candidate for the procedure.

Timeline

Before the vaginoplasty procedure:

  • Patient is diagnosed with vaginal agenesis, a condition where they are born without a vagina.
  • Patient undergoes consultations with a surgeon to discuss treatment options.
  • Patient undergoes pre-operative evaluations and tests to ensure they are a suitable candidate for surgery.

During the vaginoplasty procedure:

  • Surgeon uses a balloon catheter and special ports created in the belly button to create a new vaginal depth.
  • Balloon catheter is inserted through a support platform and guided into the correct position in the pelvis.
  • Balloon is inflated and positioned against the area where the vagina would normally be.
  • Desired vaginal depth is created by pulling on the catheter.

After the vaginoplasty procedure:

  • Patient recovers in the hospital for a few days post-surgery.
  • Patient may experience some discomfort and swelling in the vaginal area.
  • Patient is provided with post-operative care instructions and medication to manage pain.
  • Patient undergoes follow-up appointments with the surgeon to monitor healing and address any concerns.
  • Patient may undergo physical therapy to help with vaginal dilation and sexual function.
  • Patient experiences improved sexual function and satisfaction with their new vaginal depth.

What to Ask Your Doctor

Some questions a patient may want to ask their doctor about vaginoplasty include:

  • What are the potential risks and complications associated with vaginoplasty?
  • What is the expected recovery time after vaginoplasty?
  • Will I need to take any special precautions or follow a specific post-operative care plan?
  • How soon after surgery can I resume sexual activity?
  • Will I need to undergo any additional procedures or treatments in the future?
  • How long-lasting are the results of vaginoplasty?
  • Are there any alternative treatments or procedures that may be more suitable for my specific situation?
  • Can you provide me with information on your experience and success rate with performing vaginoplasty procedures?
  • Will I need to make any lifestyle changes or adjustments after undergoing vaginoplasty?
  • What are the costs associated with vaginoplasty and will it be covered by insurance?

Reference

Authors: El Saman AM, Abou-Taleb H, Khalaf M, Salama MH, Habib DM, Bahlol M, Eleraky AH, El Saman DA, Eldeen SS, Shazly SA. Journal: Obstet Gynecol. 2019 Jul;134(1):44-48. doi: 10.1097/AOG.0000000000003307. PMID: 31188326