Perineal reconstruction in girls with high vaginal atresia.

Abstract

We present a novel surgical treatment for secondary hematocolpos in adolescent girls with high vaginal atresia. Vaginoplasty was performed in 5 girls 12 to 14 years old with high vaginal atresia. The operation included the perineal approach, mobilization of hematocolpos and plastic surgery of the distal portion of the vagina using a U-shaped mucous-submucous vaginal flap, and introital and labial flaps. There were no complications 4 to 6 months after the operation. There were no instances of cosmetic defects and stenosis. The proposed technique reduces the difficulty and trauma of the operation for high vaginal atresia with hematocolpos and an absent distal portion of the vagina. An increase in plastic reserve provided by the original mobilization of hematocolpos and U-shaped vaginal flap makes intestinal and skin colpopoiesis unnecessary.