Laparoscopic vajinal bead pull through vaginoplasty technique using dental prosthesis material

Study Objective: Many reconstructive surgical procedures have been described for vaginal agenesis. Almost all of them are surgically challenging, multistage, time consuming or leave permanent scars on the abdomen or skin removal areas. The aim of this study is to introduce a simple and cheaper approach for laparoscopic vajinal bead pull through.
Method: In this retrospective study, a total of 6 patients with congenital absence of vagina (MRKH syndrome) were treated with laparoscopic vajinal bead pull through technique between 2018 till 2019 using dental prosthesis material.
Results: Six patients with MRKH syndrome were treated with laparoscopic vajinal bead pull through technique.
None of the women had any previous treatment. Mean age at the time of surgery was 18.7 ± 3.1 years and mean body mass index (BMI) was 25 (19-38) kg/m2. None of the patients had any additional malformation. In all patients, normal external genitalia and complete vaginal agenesis were observed during examination. Mean duration of surgery was 72 (55-95) minutes. All patients were discharged on the postoperative 3rd day. No intraoperative complication was encountered. All patients had their urinary catheters removed within 12 hours after surgery. Mean vaginal length at discharge was 10 cm (8-13) and all patients had adequate vaginal diameter, allowing introduction of three fingers easily. At the 12th postoperative month, mean vaginal length was 9.2 ± 1.6 cm. All patients had complete epithelization. All the women were sexually active one year after surgery.
Conclusion: Laparoscopic vajinal bead pull through technique using dental prosthesis material can provide satisfactory results with shorter operative time and lower cost.