PFD Week 2016-Neovagina Creation Using Spit-Thickness Skin Graft to Treat the latrogenic Foreshortened Vagina

Neovagina Creation Using Spit-Thickness Skin Graft to Treat the latrogenic Foreshortened Vagina

Video Transcription

Video Summary

The video demonstrates a neovaginal creation technique for women with iatrogenically foreshortened vaginas. The procedure is a modification of the McIndoe procedure used for congenital vagina agenesis. It involves using a split thickness skin graft to create a neovagina. The video discusses the clinical considerations, procurement and modeling of the graft, various neovaginal creation techniques, and limited clinical outcomes. The foreshortened vagina can be caused by various iatrogenic factors such as surgery for vaginal or cervical cancers, radiation effects, and complications from pelvic reconstructive surgery. Preoperative preparation and postoperative care are also discussed. The procedure has achieved good outcomes and provides a viable option for women who fail dilator therapy.

Asset Subtitle

Beri Ridgeway, MD

Keywords

neovaginal creation technique

iatrogenically foreshortened vaginas

McIndoe procedure

split thickness skin graft

clinical considerations