Ultrasound imaging to evaluate Creatsas vaginoplasty

Objective: To present a new imaging technique for the evaluation of the functional effectiveness of Creatsas vaginoptasty. Method: Eighteen women with Mayer-Rokitansky-Kuster-Hauser syndrome underwent a transabdominal and transperineal ultrasound examination 4 weeks and 6 months after the surgical creation of a neovagina, and then yearty, with a condom filled with water as a distending and imaging medium. The functional length and width of the neovagina and its axis deviation were assessed, as well as the postoperative quality of the women’s sexual life. Results: A functional vagina 10 to 12 cm in length and 4 to 5 cm in width was observed; its axis deviation, which was similar to the anatomic deviation, was easily determined; and 94.5% of the women reported a satisfactory white 5.5% reported an adequate sexual life. Conclusion: This new imaging technique is a simple and effective alternative for the evaluation of the postoperative effectiveness of colpopoiesis. (c) 2005 International. Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.