# 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

## TL;DR

A new surgical technique combining inverted Y-flap neovaginoplasty and amnion graft is successfully used to treat a rare vaginal anomaly in a young patient.

## Contribution

Combining inverted Y-flap neovaginoplasty with amnion graft offers a feasible and low-complication solution for vaginal agenesis.

## Key findings

- The patient achieved an 8 cm vaginal length with no menstrual obstruction after surgery.
- The procedure showed high success rates and minimal postoperative complications.
- This technique is particularly suitable for low-resource settings.

## Abstract

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.

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.

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.

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.

•Vaginal agenesis and transverse vaginal septal are rare congenital conditions thus surgical management remains challenging in urogynecology•The inverted Y-flap neovaginoplasty combined with intracervical catheterization mold amnion graft offers a feasible option for neovaginal reconstruction in vaginal agenesis patients•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.

Vaginal agenesis and transverse vaginal septal are rare congenital conditions thus surgical management remains challenging in urogynecology

The inverted Y-flap neovaginoplasty combined with intracervical catheterization mold amnion graft offers a feasible option for neovaginal reconstruction in vaginal agenesis patients

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.