Surgical Technique for Creation of a Vaginal Canal (Neovagina)
Drs. Moore and Miklos utilize the laparoscopic modification of the Davydov procedure to create vaginas in women born without them (i.e. MRKH syndrome/vaginal agenesis) or in women that have a shortened vagina or painful vaginal cuff following surgery (such as hysterectomy). They complete more laparoscopic vaginal and pelvic reconstructive surgeries at their center in Atlanta than any other in the US and are considered world leaders in the field. They have women travel to Atlanta for their surgeries from all over the US and are invited to lecture and operate on their techniques throughout the world. They have pioneered many procedures that are considered standard of care in the field of Urogynecology today and complete all of their abdominal procedures laparoscopically (many of which are still done through large abdominal incisions at most other centers).
The Davydov Procedure is a surgical procedure used to create a full-length vagina in young women that are born without a vaginal canal or lengthen the vagina in women with surgically shortened or scarred down vaginas. It is one of the most successful procedures described for this condition and utilizes the patient’s own peritoneum (the cellular layer that lines the walls of the pelvis and the abdominal cavity) as the new vaginal canal. Dr. Miklos and Moore are able to use their expertise as laparoscopic pelvic/vaginal reconstructive surgeons to be able to complete the procedure laparoscopically, i.e. through tiny mini-incisions in the belly which makes it an outpatient type surgery. They operate off of large Hi-def TV screens that magnify the field allowing them to complete the surgery with more precision, better visualization, less blood loss and less complications versus traditional surgery. Recovery is rapid and the procedure carries the lowest risk of scarring down or losing the length created than any other procedure described to create vaginal length.