CLINICAL ARTICLE Ultrasound imaging to evaluate Creatsas vaginoplasty D. Botsis, E. Deligeoroglou, P. Christopoulos * , L. Aravantinos, V. Papagianni, G. Creatsas Second Department of Obstetrics and Gynecology, University of Athens, Medical School, Aretaieion Hospital, Athens, Greece Received 18 October 2004; received in revised form 27 December 2004; accepted 28 December 2004 Abstract Objective: To present a new imaging technique for the evaluation of the functional effectiveness of Creatsas vaginoplasty. Method: Eighteen women with Mayer— Rokitansky—Ku¨ster—Hauser syndrome underwent a transabdominal and transperineal ultrasound examination 4 weeks and 6 months after the surgical creation of a neovagina, and then yearly, with a condom filled with water as a distending and imaging medium. The functional length and width of the neovagina and its axis deviation were assessed, as well as the postoperative quality of the women’s sexual life. Results: A functional vagina 10 to 12 cm in length and 4 to 5 cm in width was observed; its axis deviation, which was similar to the anatomic deviation, was easily determined; and 94.5% of the women reported a satisfactory while 5.5% reported an adequate sexual life. Conclusion: This new imaging technique is a simple and effective alternative for the evaluation of the postoperative effectiveness of colpopoiesis. D 2005 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. 1. Introduction Vaginal aplasia is a rare congenital anomaly of the genital tract with an incidence of 1 in 4000 female births [1], and Mayer—Rokitansky—Ku¨ster—Hauser (MRKH) syndrome is responsible for most of the observed cases [2]. 0020-7292/$ - see front matter D 2005 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.ijgo.2004.12.031 * Corresponding author. 1 Hariton & Ilission Str, 14564 N.Kifis- sia, Athens, Greece. Tel.: +30 32108074131; fax: +30 32108074687. E-mail address: dr_christopoulos@yahoo.gr (P. Christopoulos). KEYWORDS Imaging; Ultrasonography; Effectiveness; Neovagina; Vaginoplasty; Sonovaginography International Journal of Gynecology and Obstetrics (2005) 89, 31—34 www.elsevier.com/locate/ijgo