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Inverted Y-flap neovaginoplasty procedure combined with intracervical catheterization mold amnion graft in distal agenesis of vagina with transverse median vaginal septal: A case report

Year: 2025

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Vaginal agenesis and transverse septa, rare Müllerian anomalies, make surgery challenging. The ideal neovaginoplasty with minimal complications remains uncertain. Hence, we report here an inverted Y-flap neovaginoplasty with an amnion graft for vaginal agenesis. PRESENTATION OF CASE: A 13-year-old girl with cyclic abdominal pain for a year was diagnosed with hematotrachelos, proximal hematocolpos, transverse vaginal septum, and a unicornuate uterus. She underwent Y-flap neovaginoplasty with an amnion graft after hysteroscopy. Discharged on day 5, she had an 8 cm vaginal length with no menstrual obstruction, showing excellent outcomes. CLINICAL DISCUSSION: The inverted Y-flap neovaginoplasty is a technique used in neovaginal reconstruction, which utilizes skin from the surrounding area to create a new vaginal cavity with an epithelial lining, maintaining its length. Neovaginoplasty with amnion grafts is a rewarding surgery, particularly in low-resource nations, because of its high success rate and low rates of postoperative discomfort, infection, and scarring. CONCLUSION: The inverted Y-flap neovaginoplasty with an amnion graft is a viable option for vaginal agenesis, showing success with minimal complications. Further research can refine surgical protocols.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2025.111204

Authors: Roziana, Teuku Muhammad Yus, Misbahul Jannah, Anindyta Murfia Khairunnisa

Institutions: Universitas Syiah Kuala, Padjadjaran University

Language: English

Topic: Gynecological conditions and treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,090