AUGS/IUGA Scientific Meeting 2019-Full Thickness Skin Graft Vaginoplasty after Failed Vecchietti Procedure

Full Thickness Skin Graft Vaginoplasty after Failed Vecchietti Procedure

Video Transcription

Video Summary

In this video, a 17-year-old female who had previously undergone an unsuccessful Vecchietti procedure for primary amenorrhea underwent a second attempt at creating a neovagina using a full-thickness skin graft from her abdominal wall. The procedure involved careful dissection to develop the neovaginal space, with attention paid to avoiding injury to nearby organs and controlling bleeding. A skin graft was then harvested and inserted into the neovagina, secured with sutures. A mold was placed in the neovagina to promote graft uptake, and the patient would wear the mold daily for the next 6 months.

Asset Caption

Claudia Paya Ten, MD

Keywords

17-year-old female

Vecchietti procedure

primary amenorrhea

neovagina

full-thickness skin graft