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[Vaginal reconstruction in girls and young adults]
1J. Bentley Squier Urologic Clinic, Columbia-Presbyterian Medical Center, New York, NY, USA.
Objective:
There are many different approaches to vaginal reconstruction. Methods include simple dilatation, skin grafts techniques, amnion grafts and the use of bowel segments for vaginal replacement.
Method:
We herein discuss the most common surgical techniques and present our series of 15 patients who underwent intestinal vaginoplasty with either sigmoid colon or cecum.
Results:
The complication rate was low, with two patients requiring revision for prolapse. Ten patients are sexually active with only one describing any degree of dyspareunia.
Conclusion:
When dealing with vaginal aplasia, intestinal vaginoplasty seems to have clear advantages with an excellent surgical success rate and low incidence of complications.