Treatment of Vaginal Agenesis with Vulvoperineal Fasciocutaneous Flaps

Giraldo, Fernando Urrea; Gaspar, Diego; González, Carlos; Bengoechea, Michael; Ferrón, María Lluisa Moret

doi:10.1097/00006534-199401000-00020

Cited by 31 publications

(4 citation statements)

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“…Different grafts were used to support the repair or cover a vaginal wall defect while widening the vagina. There were 29 Martius and 17 myocutaneous bulbocavernosus grafts [7]; 13 vulvo-perineal fasciocutaneous [8], 1 puboccygeus, and 2 omentum flaps; and 2 Boari plasty procedures.…”

Section: Resultsmentioning

confidence: 99%

Urogenital and recto‐vaginal fistulas in southern Malawi: A report on 407 patients

Rijken¹,

Chilopora²

2007

Intl J Gynecology & Obste

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This study from Southern Malawi reports on 407 patients with 408 vaginal fistulas (1 patient had 2 successive fistulas). There were 29 patients (7.6%) with a combined urogenital and recto-vaginal fistula. Obstructed labor was the cause of 379 fistulas and the remaining 29 were not of obstetric origin. Although the actual incidence of vaginal fistulas is unknown, the incidence is probably much lower in Malawi than in other African countries. The rate of closure at first repair was 94.1% for urogenital fistulas but it reached 98.5% overall. For recto-vaginal fistulas, closure at first repair was 78.8% but the overall rate of successful closure was 87.9%. Stress incontinence was seen in 16.2% of the patients immediately after repair and in 6.2% after 6 months. The latter rate is certainly too low, however, as 26 of 63 patients were lost to follow-up. A national fistula task force has been set up in Malawi.

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Section: Resultsmentioning

confidence: 99%

Urogenital and recto‐vaginal fistulas in southern Malawi: A report on 407 patients

Rijken¹,

Chilopora²

2007

Intl J Gynecology & Obste

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“…Reconstructive techniques must be tailored to the individual case, considering factors such as the degree of stenosis, the anatomical subunits involved, and patient-specific characteristics like skin laxity and previous surgeries or radiotherapy [ 18 , 19 ]. Although various locoregional flaps are described in the literature for post-oncological vulvoperineal reconstruction [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ], their use in managing vulvar stenosis is less documented. One case report by Buda et al [ 12 ] reported the use of a tunneled modified lotus petal flap for vulvar reconstruction in a severe case of introital stenosis following radical vulvectomy.…”

Section: Discussionmentioning

confidence: 99%

Local Perineal Capillary Perforator Flaps: A Minimally Invasive Technique for the Correction of Vulvar Stenosis

Caretto,

Garganese,

Fragomeni

et al. 2024

JPM

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Background: Vulvar stenosis is a debilitating condition that compromises sexual function, urination, and the ability to undergo gynecological examinations. The purpose of this study is to describe the technique of capillary perforator perineal flaps (CPPF) for the correction of vulvar stenosis. Methods: We retrospectively examined patients with vulvar stenosis treated through surgical separation and reconstruction with CPPF. The procedure involved vulvar separation with the creation of a subsequent defect, repaired using a flap, harvested laterally to the labia majora including a capillary perforator and transferred through a subcutaneous tunnel to repair the vulvar defect. The functional outcome was evaluated with the Bradford scale, comparing the preoperative and postoperative scores using the Student’s t-test. Results: thirteen patients were included, three with stenosis following treatment for vulvar cancer and ten due to lichen sclerosus. In total, we analyzed 29 flaps, with an average size of 15.6 cm2. We always included just one perforator in the flap and no postoperative complications. Stenosis was resolved in all patients, with no recurrences one year after the surgery. The preoperative average severity of the stenosis was 2.3 + 0.6, reducing to 0.3 + 0.4 post-intervention, indicating a significant improvement (p < 0.01). Conclusions: CPPF has proven to be a quick and safe method for the reconstruction of vulvar stenosis.

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“…As artérias cutâneas diretas encontram-se acima da fascia muscular e são acompanhadas por um par de veias (DANIEL e WILLIANS, 1973). GIRALDO et al, 1994e MONSTREY et al, 2001.…”

Section: 63-retalhos Perineaisunclassified

“…Os retalhos perineais, baseados nas ramificações da artéria pudenda interna, propostos por WEE e JOSEPH (1989) foram utilizados amplamente para correção de atresia vaginal (GIRALDO et al, 1994) e fístulas genitais complexas (MOSTREY et al, 2000), porém a presença de pilificação no neo-intróito vaginal foi uma complicação freqüentemente relatada com a utilização destes retalhos.…”

Section: Avaliação Do Intróito Vaginalunclassified

Genitoplastia feminizante em meninas portadoras de hiperplasia congenita das supra-renais

Miranda¹

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Treatment of Vaginal Agenesis with Vulvoperineal Fasciocutaneous Flaps

Cited by 31 publications

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Urogenital and recto‐vaginal fistulas in southern Malawi: A report on 407 patients

Urogenital and recto‐vaginal fistulas in southern Malawi: A report on 407 patients

Local Perineal Capillary Perforator Flaps: A Minimally Invasive Technique for the Correction of Vulvar Stenosis

Genitoplastia feminizante em meninas portadoras de hiperplasia congenita das supra-renais

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