The Modified McIndoe Technique: A Scar-free Surgical Approach for Vaginoplasty With an Autologous Micromucosa Graft - 23/08/19
ABSTRACT |
Objective |
To evaluate the effect of a scar-free surgical approach, the modified McIndoe technique, in cases of vaginal agenesis.
Materials and Methods |
Seven patients with Mayer-Rokitansky-Kuster-Hauser syndrome underwent vaginoplasty with the modified McIndoe technique. Mucosa grafts harvested from the vulva were minced into small particles and transplanted to the neovagina.
Results |
Epithelization in the neovagina is approximately 20 times in size than that in the mucosa harvested from the donor site. An adequate vaginal length was obtained in all cases, with a minimal change in genital appearance and invisible scars. All 4 sex-active patients reported satisfactory sexual experiences, with spontaneous lubrication during intercourse.
Conclusion |
With the modified McIndoe technique, using an autologous micromucosa graft harvested from the vulva and the buccal cavity, we can physiologically reconstruct a new mucosa-lined vagina with minimal sacrifice.
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Conflict of Interest: All authors claimed that there is no conflict of interest. |
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Financial Disclosures: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. |
Vol 131
P. 240-244 - septembre 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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