Fine needle vaginoplasty: a simplified novel approach for correction of vaginal aplasia

ObjectiveTo introduce a simple and easy surgical alternative for formation of a neovagina in patients with vaginal aplasia that offers reasonable anatomic and functional results.DesignCase series.SettingUniversity hospital.Patient(s)Three patients with complete vaginal aplasia without uterus.Intervention(s)A silicone Foley catheter loaded into distal end of a fine needle and passed extraperitoneally into the space of Retzius followed by its inflation and traction for 8 days.Main Outcome Measure(s)Operative time, complication rate, reintervention rate, width and length of the newly formed vagina, and postoperative feasibility of intravaginal sexual intercourse.Result(s)The results were satisfactory: normal length and width of neovagina, no complications, and normal sexual life within 7 to 8 days after surgery.Conclusion(s)Fine needle vaginoplasty is a simple, fast, safe, and available extraperitoneal procedure for correction of vaginal aplasia. It can be done easily by any gynecologist aware of the anatomy of the retropubic space.