Neovagina Creation: A New Method Using Disposable Syringe Mold with Interceed.

Background: The purpose of this study is to report experience with a disposable plastic syringe mold with Interceed™ for vaginoplasty in patients with vaginal aplasia. Case: The current study reports six patients diagnosed as having the Mayer-Rokitansky-Kuster-Hauser syndrome. The mold was prepared with a disposable plastic syringe (20 mL) with Interceed wrapped over it. After creation of neovagina, the mold wrapped with Interceed was secured in the neovagina. On the seventh day after operation, the originally placed mold (mold wrapped with Interceed) was replaced with mold without Interceed. Since this mold is lighter and easier to adjust, it was less stressful for the patients to master the procedure. Average operation time was 20 minutes with average blood loss being 10 mL. Average hospital stay was 10 days. The mean length of the neovagina one week postoperation was 8 cm with two fingers in width in all patients. No remarkable postoperative complications were noted. At 2 months after surgery, the neovagina was confirmed to be completely epithelialized in all patients assessed by Schiller's test. Conclusions: This innovative surgical procedure using a disposable syringe plastic mold wrapped with Interceed seems a more useful and patient compliant approach for the treatment of vaginal agenesis. (J GYNECOL SURG 31:342) [ABSTRACT FROM AUTHOR]