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Surgically Shortened Vagina Lengthened by Laparoscopic Davydov Procedure

Moriarty, Christopher R. OMS-III, BS; Miklos, John R. MD; Moore, Robert D. DO

Female Pelvic Medicine & Reconstructive Surgery: September/October 2013 - Volume 19 - Issue 5 - p 303–305
doi: 10.1097/SPV.0b013e3182a11ae8
Case Reports

Background: The laparoscopic Davydov procedure is a neovagina surgical technique most commonly used in patients with vaginal agenesis. We present a unique case of vaginal length restoration using this procedure in a patient with vaginal shortening after multiple vaginal surgeries.

Case: A 62-year-old patient presented to our office after multiple vaginal surgeries with symptoms suggestive of cystocele, rectocele, vaginal vault prolapse, and dyspareunia. Excessive vaginal shortening and a painful vaginal apex were also noted upon initial examination. A laparoscopic Davydov procedure was performed to lengthen the vagina and to eliminate the apical pain.

Conclusion: The laparoscopic Davydov procedure is a surgical option for patients with surgically shortened vaginas and dyspareunia.

From the Atlanta Urogynecology Associates, Atlanta, GA.

Reprints: John R. Miklos, MD, Atlanta Urogynecology Associates, Atlanta, GA, 3400-C Old Milton Parkway, Suite 330, Alpharetta, GA 30005. E-mail: johnrmiklos@yahoo.com.

The authors have declared that there are no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins