case_images: PMC11221995_01
case_images: Intraperitoneal view on completion of Davydov vaginoplasty. Proximal end of the newly created vagina is closed with sutures.
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case_images: fig3
case_images: Given the authors' long-standing experience with the Davydov vaginoplasty and the unavailability of a ready-made traction device typically used in the Vecchietti procedure, laparoscopic vaginoplasty, as described by Davydov, was performed (see Figure 3).
case_images: Transabdominal pelvic ultrasound, sagittal view, showing urinary bladder (UB), urethra and bladder neck (boxed area), and dilator inserted into vagina (arrow), casting a shadow. The urethra now opens at the anterior wall of the newly created vagina, and the angle precludes the possibility of accidentally penetrating it during intercourse or the dilatation process.
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case_images: PMC11221995_01_CRIOG2024-9498667.004.jpg
case_images: fig4
case_images: As a result of the surgery, the urethral opening was pulled inwards and located at the anterior wall of the newly constructed vagina, approximately 1.5 cm from the external opening (Figure 4).
case_images: Follow-up visit, 2 months after surgery. Hegar Uterine Dilator No. 30 can be inserted approximately 8 cm deep without causing any discomfort.
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case_images: PMC11221995_01_CRIOG2024-9498667.005.jpg
case_images: fig5
case_images: Dilator No. 20 in order to maintain and gradually enlarge her newly created vagina. During a 2-month period, dilatation was performed twice a day for 20 min; ultimately, a Hegar Uterine Dilator No. 30 was able to be inserted without any discomfort (Figure 5).