The pt suffered from vaginal agenesis.
The vaginal stent (product number 3521-095) was inserted in the operating room during the creation of a neovaginal cavity on (b) (6) 2008.
The day after the surgery, the stent fell out.
The stent was inserted back in place and it fell out once again.
Upon inspection, it appeared that the stent was no longer inflated to the level it was when it was placed into the vaginal canal.
The stent was inflated outside of the pt's body and it stayed inflated.
It was inspected and no holes were found.
The stent was once again inserted in the pt and once again, it came out.
Upon inspection it was noted that the stent had deflated.
The pt underwent a second surgery on (b) (6), 2008 and an alternative device was used to replace the vaginal stent.