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Chapter-38 Vagina

BOOK TITLE: Operative Obstetrics and Gynecology

Author
1. Pandit Suchitra N
2. Trivedi SS
3. Batra Swaraj
4. Dhaliwal Lakhbir
5. Singh S K
6. Sarkar Barun
7. Urala MS
8. Chandra Phool
9. Rath SK
10. Jasleen
ISBN
9788184485370
DOI
10.5005/jp/books/11088_38
Edition
1/e
Publishing Year
2009
Pages
52
Author Affiliations
1. LT Medical College and LT Municipal, General Hospital, Mumbai, India, Kokilaben Dhirubhai Ambani Hospital, Surya Group of Hospitals, Mumbai; AICC RCOG (2017- 20); ISOPARB (2018-19; Medical Education SAFOG, Surya Group of Hospitals, Mumbai, Maharashtra, India; FOGSI, FOGSI, 2014; Surya Group of Hospitals, Mumbai, Maharashtra, India, FOGSI 2014; Surya Hospitals, Mumbai, Maharashtra, India, Kokilaben Dhirubhai Ambani Hospital and Research Centre, Mumbai, Maharashtra, India; FOGSI 2014, Kokilaben Dhirubhai Ambani Hospital and Research Hospital, Mumbai, Maharashtra, India, LT Medical College and LT Municipal General Hospital, Mumbai, Maharashtra, India, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India, Kokilaben Hospital, Mumbai, Maharashtra, India; FOGSI 2014, Kokilaben Dhirubhai Ambani Hospital and Research Center, Mumbai, Maharashtra, India; FOGSI (2014–2015) and MOGS (2013–2014); ICOG; FOGSI (2003–07), Kokilaben Dhirubhai Ambani Hospital and Medical Research
2. New Delhi, New Delhi, India, Lady Hardinge Medical College, New Delhi, Lady Hardinge Medical College and SSK Hospital, New Delhi, India, Lady Hardinge Medical College and SSK Hospital, New Delhi
3. Maulana Azad Medical College and Lok Nayak Jai Prakash Hospital, New Delhi, India, MAMC and Lok Nayak Hospital, New Delhi, Maulana Azad Medical College and LN Hospital, New Delhi, MAMC and LNH, New Delhi, Maulana Azad Medical College and Associated Lok Nayak Jay Prakash Hospital, New Delhi, Maulana Azad Medical College, New Delhi, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, Maulana Azad Medical College and Loknayak Hospital, New Delhi, India, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Delhi
4. Postgraduate Institute of Medical Education and Research Chandigarh, India, Chandigarh, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
5. Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
6. Agra, India, SN Medical College, Agra, India, Dr. Sarkar’s Nursing Home, Agra, Agra, Uttar Pradesh, India, Agra
7. Manipal, Karnataka, India, Manipal (Karnataka)
8. Patiala, Punjab, India, Patiala
9. Bikaneer (Rajasthan), KIMS Hospital, Bhubaneswar, Odisha, India
10. Patiala
Chapter keywords
sexual life, surgical methods, intellectually reliable, sexual activity, gauze ressure, vaginal procedure, skin, incision, scrotal skin, neo vagina, vaginoplasty, complication, spraying, urine stream, trained experts, traction, ligament, vaginal length, posterior wall, suture bridge

Abstract

This chapter discusses various surgerical procedures of disorders in vagina. These include vaginectomy and episiotomy or stenotic release surgery or stricture release, anterior colporrhaphy/cystocele repair, closure of outlet, recto-vaginal/urethro-vaginal fistula repair, and vaginoplasty. For closure of outlet, Goodall and Power created two triangular denuded areas on the anterior and posterior vaginal walls in the upper part. This resulted in partial vaginal closure thus allowing sexual intercourse. Recto-vaginal/urethro-vaginal fistula repair includes techniques such as bladder wall advancement technique and bladder spout technique. In vaginoplasty, canalization of vagina and epithelialization with cells mostly derived from urogenital sinus, lead to complete formation of vagina. In this, an ineffective suppression of mullerian ducts may lead to ambiguous genitalia associated with small rudimentary uterus or a partially developed vagina requiring vaginoplasty in congenital adrenal hyperplasia.

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