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Vaginal replacement in children.

T W Hensle1, G E Dean

  • 1Division of Pediatric Urology, Babies Hospital, Columbia-Presbyterian Medical Center, New York, New York.

The Journal of Urology
|August 1, 1992
PubMed
Summary
This summary is machine-generated.

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This study evaluated 17 patients who underwent total vaginal replacement for Müllerian failure or intersex gender reassignment. Most patients experienced good outcomes, with 10 reporting sexual activity and minimal complications like prolapse or stenosis.

Area of Science:

  • Reconstructive surgery
  • Gynecology
  • Urology

Background:

  • Müllerian agenesis and intersex conditions necessitate vaginal reconstruction.
  • Total vaginal replacement offers a surgical solution for creating a neovagina.

Purpose of the Study:

  • To evaluate the outcomes of total vaginal replacement in patients with Müllerian failure or intersex.
  • To assess functional results and complications associated with neovagina creation.

Main Methods:

  • Retrospective review of 17 patients undergoing total vaginal replacement between 1980 and 1990.
  • Vaginal reconstruction utilized either colon (15 patients) or small bowel (2 patients).

Main Results:

  • 15 patients received colon vaginal replacement; 2 received small bowel.

Related Experiment Videos

  • Complications included prolapse (2 patients) and stenosis (2 patients).
  • Out of 17 patients, 4 are married and 10 are sexually active; 1 reported dyspareunia and 1 required home self-dilation.

    • Conclusions:

    • Total vaginal replacement using intestinal segments is a viable option for patients with vaginal agenesis or intersex conditions.
    • While complications like prolapse and stenosis can occur, functional outcomes, including sexual activity, are often positive.