Split skin graft reconstruction in vaginal agenesis: a long-term follow-up

Fifteen women who had isolated congenital vaginal agenesis reconstructed by the split skin inlay grafting technique at a mean age of 19 (0.5) years, were followed up 2-33 years after the operation. The reconstruction had been functionally successful in all patients. No patient reported dyspareunia, exceptional dryness, or disturbing vaginal discharge. All the women had established normal, stable relationships with men. Their general recollection of the hospital stay and treatment was favourable. The importance of a thorough preoperative and postoperative explanation was emphasised by the patients, as well as their wish for long term contact with a specialist in gynaecology who was well aware of their special problems. In conclusion, the good functional results have been accompanied by stable social and psychological relationships.