A new era for treating XXXX using transretropubic balloon vaginoplasty approach.

@entity1 @entity365
OBJECTIVE: To test the efficacy, safety, and tolerability of a novel surgical alternative for formation of a neovagina in @entity1 with @entity365 . DESIGN: Technique and instrumentations. SETTING: A specialized endoscopic surgery center. @entity1 (S): Four @entity1 with @entity365 , three of them without a uterus and one with a functioning uterus. INTERVENTION(S): A silicone Foley catheter sutured to the distal end of a sharp curved needle with a wide eye attached to a plastic handle and passed extraperitoneally into the space of Retzius followed by its inflation and upward traction for 8 days. Clinical and magnetic resonance imaging (MRI) follow-up were done. MAIN OUTCOME MEASURE(S): Operative time, complication rate, tolerability of traction and retraction, reintervention rate, width and length of the newly formed vagina, and postoperative feasibility of intravaginal sexual intercourse for married cases. RESULT(S): The results were satisfactory (normal length and width of neovagina), without complications and with acceptable tolerability and normal sexual life within 8-10 days postoperatively for the married @entity1 . CONCLUSION(S): Both clinical and MRI follow-up confirmed that retropubic balloon vaginoplasty is a simple, fast, tolerable, safe, and available extraperitoneal procedure. It can be easily done by any gynecologist having basic knowledge of the anatomy of the retropubic space.
