[Twelve cases of vaginal reconstruction using neurovascular pudendal-thigh flaps].
OBJECTIVE
To summarize the experience in vaginal reconstruction using neurovascular pudendal-thigh flaps.


METHODS
The pudendal-thigh flaps lateral to labia majora with the external branches of labial posterior blood vessels in the pedicle were elevated and brought to the midline through tunnels formed under labia majora. The two flaps were then sutured together to create a new vagina. Flap size varied from 9 cm x 4 cm to 14 cm x 5 cm.


RESULTS
In twelve cases aged 14 to 44 years including congenital absence of vagina, testicular ferminization syndrome and transsexual patients a new vagina was constructed with neurovascular pudendal-thigh flaps. One patient developed complete necrosis of unilateral flap, followed by formation of rectovaginal fistula. In other patients the flaps all survived and the neovagina was spacious and quite deep.


CONCLUSIONS
The vaginal reconstruction using pudendal-thigh flaps is one of the best methods of vaginoplasty. The technique is simple and reliable. The flap has good blood supply and no stents or dilators are needed after operation. The donor site is hidden with little secondary deformity. The neovagina has a natural angle for intercourse and is sensible.
Li
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S
Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041, China.
Liu
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Y
Li
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Y
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D014621:Vagina / Q000601:surgery*