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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2010  |  Volume : 15  |  Issue : 1  |  Page : 19-22

Vaginal agenesis: Experience with sigmoid colon neovaginoplasty

1 Department of Pediatric Surgery, CSM Medical University, Lucknow - 226 003, India
2 Department of Anesthesiology, CSM Medical University, Lucknow - 226 003, India

Correspondence Address:
Jiledar Rawat
Department of Pediatric Surgery, CSM Medical University, Lucknow - 226 003
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-9261.69136

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Aim: Objective of this study is to report our experience with sigmoid vaginoplasty in adolescents. Materials and Methods: A retrospective study of children with vaginal atresia and Mayer-Rokitansky-Kuster-Hauser syndrome. The sigmoid segment was used for vaginoplasty in all the cases. Results: Eight children were studied over a period of 7 years. The postoperative complications were ileus in 2, mucosal prolapse of the neovagina in 1, and minor wound infection in 1 patient. Seven patients are on regular follow-up. All the neovaginas were patent and functional. One patient had unacceptable perineal appearance, that is, badly scarred perineum as a late complication. None of the patients had vaginal stenosis or excessive mucus discharge, during follow-up visits. Out of the 7 patients, 2 patients are sexually active and satisfied. Conclusions: Sigmoid vaginoplasty is a safe and acceptable procedure for vaginal agenesis with good cosmetic results and acceptable complications rate. Sigmoid colon vaginoplasty is the treatment of choice because of its large lumen, thick walls resistant to trauma, adequate secretion allowing lubrication, not necessitating prolonged dilatation, and short recovery time.


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