Transretropubic traction vaginoplasty for correction of vaginal aplasia

ObjectiveTo introduce an alternative approach to vaginoplasty using transretropubic traction (TRT).MethodsIn this case series with 4 patients with complete vaginal aplasia, a plastic “olive” placed on the vaginal dimple was lifted by a mesh tape inserted through the space of Retzius and anchored to the anterior abdominal wall.ResultsOn day 8 postoperatively all patients had a reasonable vaginal size, 2.5 to 3 cm in width and 6 to 7.5 cm in length. The mean satisfaction scores were 86 points for the patients and 89 points for their husbands, who also reported a mean penetration score of 90 points.ConclusionAs a minimal-access and relatively simple operation, TRT vaginoplasty could be performed by trained gynecologists. Studies with larger populations are required to support this preliminary report.