Journal of Cutaneous and Aesthetic Surgery
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ORIGINAL ARTICLE
Year : 2011  |  Volume : 4  |  Issue : 2  |  Page : 118-121

Sheares' Method of Vaginoplasty - Our Experience


Department of Obstetrics and Gynecology, NRS Medical College and Hospital, Kolkata and PGMER and SSKM Hospital and Medical College, Kolkata, India

Correspondence Address:
Somajita Chakrabarty
83/1/1, Ballygange Place, Kolkata - 700 019
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.85032

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Introduction: The Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is one of the most common causes of primary amenorrhoea and is associated with vaginal atresia and absent uterus despite the presence of normal ovaries and external genitalia. Various techniques have been used, with many disadvantages, to create a neovagina. Aims and Objectives: Our aim is to create a neovagina with a simple and safe method. Materials and Methods: We have operated 18 cases of MRKH syndrome with the Sheares' method of vaginoplasty, in which the space between the two labia is dilated with a Hegar's dilator along the vestigial Mullerian ducts. Thus, two tunnels are created and the central septum is excised to form a single vagina. A mould covered with amnion is placed in the neovagina. All cases are followed up for six months. They have all had a good length of vagina with regular manual dilatation. Conclusions: The Sheares' method of vaginoplasty is an easy and safe method to create a neovagina with least complications, like injury to urinary bladder, rectum or bleeding.


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