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Construction of an artificial vagina with sigmoid colon in vaginal agenesis
1Department of Obstetrics and Gynecology, Korle Bu Hospital, University of Ghana Medical School, Accra.
Objectives:
The study of 15 cases of colonic reconstruction for absent vagina. The outcome in cases of reconstruction of an artificial vagina using the colon is evaluated.
Methods:
Fifteen female patients with congenital absence of vagina who were evaluated and treated with sigmoid colonic reconstruction at the Korle-Bu Teaching Hospital in Accra, Ghana were studied.
Results:
This reconstructive method is successful in patients having a functioning vagina without progressive shrinkage or other symptoms. Disfigurement of the thighs and labia are avoided as is the need for active manipulation.
Conclusion:
Sigmoid colonic reconstruction for vaginal agenesis is an acceptable method especially in the developing world.