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Neovaginal procidentia

¹Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk 23507.

Annals of Plastic Surgery

|May 1, 1993

Summary

This summary is machine-generated.

Vaginal reconstruction using skin grafts and omental pedicles can rarely lead to neovaginal prolapse. Sacral colpopexy effectively corrected this complication, restoring both form and function.

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Area of Science:

Reconstructive surgery
Gynecologic oncology

Background:

Split-thickness skin grafts with omental pedicle flaps are frequently used for vaginal reconstruction.
This technique aims to create a functional and aesthetically pleasing neovagina.

Observation:

An unusual case of neovaginal prolapse occurred 3 months post-reconstruction.
The prolapse presented a significant challenge to the integrity of the reconstructed vagina.

Findings:

Sacral colpopexy, utilizing autogenous fascial tissue, was performed to address the neovaginal prolapse.
This surgical approach successfully corrected the anatomical defect and restored functional integrity.

Implications:

This case highlights a rare but significant complication of a common vaginal reconstruction technique.

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Sacral colpopexy presents a viable solution for managing neovaginal prolapse, offering anatomical and functional restoration.