Description:
<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To introduce an alternative approach to vaginoplasty using transretropubic traction (TRT).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>In this case series with 4 patients with complete vaginal aplasia, a plastic “olive” placed on the vaginal dimple was lifted by a mesh tape inserted through the space of Retzius and anchored to the anterior abdominal wall.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>On day 8 postoperatively all patients had a reasonable vaginal size, 2.5 to 3 cm in width and 6 to 7.5 cm in length. The mean satisfaction scores were 86 points for the patients and 89 points for their husbands, who also reported a mean penetration score of 90 points.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>As a minimal‐access and relatively simple operation, TRT vaginoplasty could be performed by trained gynecologists. Studies with larger populations are required to support this preliminary report.</jats:p></jats:sec>