Tissue expansion vaginoplasty for treatment of congenital vaginal agenesis.
BACKGROUND
A patient with congenital vaginal agenesis was unsuccessful in the use of dilation to create a vaginal orifice and rejected the option of a buttock graft.


METHODS
Two tissue expanders were introduced beneath the labia majora bilaterally and slowly expanded over 4 weeks. Redundant labial tissue was advanced as a bipedicle flap to line the neovagina created intraoperatively. Postoperative stent placement and dilation resulted in a vaginal canal lined by full-thickness mucosa exceeding 8 cm in depth.


CONCLUSIONS
A modified method of tissue expansion vaginoplasty using a bipedicle flap is an option for the surgical creation of a vaginal orifice.
Chudacoff
R M
RM
Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, National Naval Medical Center, Bethesda, Maryland, USA.
Alexander
J
J
Alvero
R
R
Segars
J H
JH
D000328:Adult; D000013:Congenital Abnormalities / Q000601:surgery; D004106:Dilatation; D005260:Female; D006801:Humans; D015607:Stents; D013524:Surgical Flaps; D015626:Tissue Expansion; D015625:Tissue Expansion Devices; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery