[Vaginal reconstruction in girls and young adults].
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.


METHODS
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.


CONCLUSIONS
When dealing with vaginal aplasia, intestinal vaginoplasty seems to have clear advantages with an excellent surgical success rate and low incidence of complications.
J. Bentley Squier Urologic Clinic, Columbia-Presbyterian Medical Center, New York, NY, USA.
T W
TW
Hensle
E A
EA
Reiley
D000293:Adolescent; D002648:Child; D012734:Disorders of Sex Development / Q000175:diagnosis / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D011182:Postoperative Care; D019651:Plastic Surgery Procedures / Q000379:methods*; D014621:Vagina / Q000002:abnormalities / Q000196:embryology / Q000601:surgery*
Reconstrucción vaginal en niñas y jóvenes adultas.