Use of a Silicone Gel Sheet Vaginal Mold in McIndoe Vaginoplasty

The McIndoe operation is a widely performed surgical procedure for neovaginal reconstruction [1]. It creates a neovaginal cavity by dissecting between the bladder and rectum, and grafts skin to resurface a surgically created neovagina. A space-occupying vaginal mold is required to maintain the skin graft. An unsuitable References 1. Crocker HR. Paget’s disease affecting the scrotum and penis. Trans Pathol Soc Lond 1888-1889;40:187-91. 2. Chan JY, Li GK, Chung JH, et al. Extramammary Paget's disease: 20 years of experience in chinese population. Int J Surg Oncol 2012;2012:416418. 3. Tsutsumida A, Yamamoto Y, Minakawa H, et al. Indications for lymph node dissection in the treatment of extramammary Paget's disease. Dermatol Surg 2003; 29:21-4. 4. Brierley JD, Stockdale AD. Radiotherapy: an effective treatment for extramammary Paget's disease. Clin Oncol (R Coll Radiol) 1991;3:3-5. 5. Zhu Y, Ye DW, Yao XD, et al. Clinicopathological characteristics, management and outcome of metastatic penoscrotal extramammary Paget's disease. Br J Dermatol 2009;161:577-82. Fig. 4. Histological findings. The black arrow indicates Paget cells with atypical round nuclei with abundant pale granular cytoplasm. The white arrow indicates normal cell lining (H&E, ×100). Fig. 5. Histological findings. The black arrow indicates a tumor cell nest in the subcutaneous layer (H&E, ×20).