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Sigmoid colon vaginoplasty: a modified method

R C Franz1

  • 1Faculty of Medicine, University of Pretoria, Republic of South Africa.

British Journal of Obstetrics and Gynaecology
|November 1, 1996
PubMed
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Sigmoid colon vaginoplasty is a feasible surgical technique for vaginal reconstruction, offering satisfactory functional results in most patients. This modified approach provides a viable option for various indications, including vaginal agenesis and gender dysphoria.

Area of Science:

  • Surgical Reconstruction
  • Gastrointestinal Surgery
  • Gynecological Surgery

Background:

  • Vaginal agenesis, acquired vaginal loss, and gender dysphoria necessitate reconstructive surgery.
  • Traditional vaginoplasty techniques may have limitations in terms of tissue availability and functional outcomes.

Purpose of the Study:

  • To evaluate the technical feasibility and functional outcomes of a modified sigmoid colon vaginoplasty technique.
  • To assess the long-term results of this reconstructive approach.

Main Methods:

  • Retrospective analysis of 13 women undergoing sigmoid colon vaginoplasty.
  • Modified technique involving sigmoid colon segment, vascularized by middle and inferior rectal arteries.
  • Assessment of sexual function over a 1-19 year follow-up period.

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Main Results:

  • Twelve out of 13 women reported satisfactory results.
  • Mild stenosis was manageable with daily dilatations.
  • One case required prosthesis removal due to fibrosis; another had a successful fistula repair using the sigmoid graft.

Conclusions:

  • Modified sigmoid colon vaginoplasty is an acceptable and effective procedure for vaginal reconstruction.
  • The technique offers a viable solution for vaginal agenesis, acquired loss, and sexual reassignment surgery.