PERINEAL RECONSTRUCTION IN GIRLS WITH HIGH VAGINAL ATRESIA

Purpose: We present a novel surgical treatment for secondary hematocol pos in adolescent girls with high vaginal atresia. Materials and Metho ds: Vaginoplasty was performed in 5 girls 12 to 14 years old with high vaginal atresia. The operation included the perineal approach, mobili zation of hematocolpos and plastic surgery of the distal portion of th e vagina using a U-shaped mucous-submucous vaginal nap, and introital and labial flaps. Results: There were no complications 4 to 6 months a fter the operation. There were no instances of cosmetic defects and st enosis. Conclusions: The proposed technique reduces the difficulty and trauma of the operation for high vaginal atresia with hematocolpos an d an absent distal portion of the vagina. An increase in plastic reser ve provided by the original mobilization of hematocolpos and U-shaped vaginal flap makes intestinal and skin colpopoiesis unnecessary.