Postoperative Course and Complications after Pull-through Vaginoplasty for Distal XXXX .

@entity1 @entity260 @entity281 @entity1146 @entity850 @entity365 @entity293
STUDY OBJECTIVE: To report the usual postoperative course and complications after pull-through vaginoplasty for isolated distal vaginal @entity1146 . DESIGN, SETTING, AND @entity1 : Retrospective chart review at Texas @entity1 's Hospital of all @entity1 who were diagnosed with isolated distal vaginal @entity1146 and underwent pull-through vaginoplasty during the study time frame. INTERVENTIONS: None. MAIN OUTCOME MEASURES: @entity260 such as @entity850 or @entity281 and postoperative vaginal diameter. RESULTS: Sixteen @entity1 were identified and charts were reviewed. @entity1 were initially evaluated by pelvic magnetic resonance imaging and found to have distended hematometrocolpos with distal vaginal @entity1146 . All @entity1 underwent pull-through vaginoplasty with similar operative techniques. The average distance from the perineum to the level of the obstruction was 1.84    1.2 cm. Two @entity1 , both with obstructions at greater than 3 cm, experienced @entity850 formation postoperatively. Four @entity1 (25%) experienced postoperative @entity365 . One @entity1 (6.25%) experienced a @entity293 . Two groups (3 cm or less versus greater than 3 cm) were compared, and the presence of @entity850 was statistically different based on mean centimeters from perineum prior to pull-through vaginoplasty (P = .038). CONCLUSIONS: Distal vaginal @entity1146 is managed with pull-through vaginoplasty. Atresias that extend greater than 3 cm from the perineum are at increased risk for @entity850 formation and should be followed to monitor for their formation. Other complications are infrequent and minor.
