Laparoscopically assisted vaginal pull-through for high urogenital sinus: A new surgical technique - Abstract

OBJECTIVE: To evaluate feasibility and outcome of a laparoscopically assisted vaginal pull through procedure for suprasphincteric high urogenital sinus malformation with hydrometrocolpos and normal external genitalia.

METHODS: A tension-free anastomosis of the vagina to the perineum was realized after laparoscopic mobilization of the vagina, separation from the bladder neck at the confluence and pull-through via an externally introduced expandable trocar, thereby avoiding perineal or perirectal dissection.

RESULTS: The approach resulted in good cosmetic and unimpaired functional outcome. Voiding cystourethrography showed normal lower urinary tract anatomy. No disturbances of bladder function could be detected 2 years after surgery.

CONCLUSION: Laparoscopic assisted vaginal pull-through is a new approach for high UGS that significantly improved exposure of the uretro-vaginal junction, allowed extensive mobilization of the vagina and showed excellent cosmetic and functional result.

Written by:
Fuchs J, Warmann SW, Seitz G, Schäfer J, Schröder M, Obermayr F.   Are you the author?
Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Tuebingen, Germany.

Reference: Urology. 2012 May;79(5):1180-3.
doi: 10.1016/j.urology.2012.01.009


PubMed Abstract
PMID: 22446347

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