| Ileal J-pouch vaginoplasty: reconstruction of a physiologic vagina with an ileal J-pouch. | |
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MedLine Citation:
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PMID: 19376491 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Vaginal reconstruction has been performed for more than a century. Main complications are vaginal stenosis requiring dilatation, dyspareunia, excessive mucus secretion, and poor aesthetic and functional outcome. Here we report a new operation method modified after Baldwin for intestinal vaginoplasty in a patient with pelvic exenteration after spinal cell carcinoma of the vagina. Because of balanced liquid resorption and mucus secretion with sufficient vessel length in the terminal ileum, this intestinal segment was chosen. A J-pouch of distal ileum was constructed pedicled on the ileocolic artery and accompanying nervous plexus, transferred into the lower pelvis and sutured to the vaginal stump. One year follow-up showed a highly satisfied, sexually active patient, with adequate vaginal size, optimal lubrication and no molesting fecal odor. Terminal ileum J-pouch vaginoplasty is an optimal method for vaginal reconstruction providing a sufficient vaginal lumen and lubrication and thereby restoring patients' sexual life and increasing life quality. |
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Authors:
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Wolfgang Schneider; Phuong Nguyen-Thanh; Henning Dralle; Ursula Mirastschijski |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-04-18 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 200 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-06-01 Completed Date: 2009-07-01 Revised Date: 2009-08-27 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 694.e1-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Plastic, Aesthetic, and Hand Surgery, University Hospital, Otto-von-Guericke University Magdeburg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Colonic Pouches Female Gynecologic Surgical Procedures / methods Humans Middle Aged Vagina / surgery* |
| Comments/Corrections | |
Erratum In:
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Am J Obstet Gynecol. 2009 Aug;201(2):214 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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