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Related Experiment Videos

Sexual function following bowel vaginoplasty.

Terry W Hensle1, Ahmad Shabsigh, Ridwan Shabsigh

  • 1Department of Urology, Columbia University, College of Physicians and Surgeons, New York, New York, USA.

The Journal of Urology
|May 16, 2006
PubMed
Summary

Bowel vaginoplasty using sigmoid colon provides excellent vaginal replacement with adequate and durable sexual function. This surgical technique offers a viable option for patients requiring vaginal reconstruction, improving quality of life.

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Area of Science:

  • Reconstructive surgery
  • Gynecologic surgery
  • Urology

Background:

  • Vaginal agenesis and other conditions necessitate vaginal reconstruction.
  • Bowel vaginoplasty is a surgical technique used for vaginal replacement.

Purpose of the Study:

  • To review a 23-year experience with bowel vaginoplasty.
  • To assess postoperative quality of life and sexual function.

Main Methods:

  • Retrospective review of 57 patients undergoing bowel vaginoplasty (1980-2004).
  • Vaginal segments used: sigmoid colon (39), ileum (9), cecum (9).
  • Postoperative sexual function evaluated using the Female Sexual Distress Questionnaire (FSDQ).

Main Results:

  • 44 patients evaluated for sexual function; 36 completed the FSDQ.

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  • 78% reported sexual desire, 78% sexual satisfaction.
  • 89% reported adequate lubrication; 22% reported no orgasms.

    • Conclusions:

    • Bowel segments provide excellent tissue for vaginal replacement.
    • Sigmoid colon is preferred over small bowel for technical reasons.
    • Bowel vaginoplasty results in adequate and durable sexual function.