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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