title: Sigmoid vaginoplasty: long-term results.
abstract: OBJECTIVE
  To evaluate the long-term results of sigmoid vaginoplasty for Mayer-Rokitansky-Kuster-Hauser syndrome. The social and psychological acceptance of the procedure is also discussed in terms of a developing country scenario.
  
  
  METHODS
  A total of 14 patients with Mayer-Rokitansky-Kuster-Hauser syndrome were treated at our institute from January 1995 to December 2004. Sigmoid vaginoplasty was performed in all patients. The procedure was performed using a combined abdominoperineal approach. Dissection was done between the urethra and rectum to create a bed for the neovaginal colon conduit. A 10-cm segment of sigmoid colon was raised on its vascular pedicle, delivered through the abdominoperineal tunnel, and fixed to the vaginal pit incision. The patient records were reviewed for surgical technique and postoperative complications. Patients underwent a personal interview to assess the postoperative results, social acceptance of the procedure, and sexual satisfaction.
  
  
  RESULTS
  The mean patient age at surgery was 16.8 years. The patients who underwent sigmoid vaginoplasty had good cosmetic results without the need for routine dilation or the problem of excessive mucus production. The postoperative morbidity was minimal. During a mean follow-up of 4.1 years, no stenosis or colitis was encountered. The subjective satisfaction rate with the surgical outcomes in all the patients was 8.01 on a scale of 0 to 10 (0, very disappointed to 10, satisfied).
  
  
  CONCLUSIONS
  Sigmoid vaginoplasty is an effective treatment for patients with vaginal atresia. Timed vaginal reconstruction in these patients allows for a better quality of life and social acceptance. It also enables the patient to lead a near-normal sexual life, with high satisfaction rates.
authors.affiliation: Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. rkapoor@sgpgi.ac.in
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kapoor
authors.forename: Devender Kumar
authors.initials: DK
authors.lastname: Sharma
authors.forename: Kamal Jeet
authors.initials: KJ
authors.lastname: Singh
authors.forename: Amit
authors.initials: A
authors.lastname: Suri
authors.forename: Pratipal
authors.initials: P
authors.lastname: Singh
authors.forename: Himanshu
authors.initials: H
authors.lastname: Chaudhary
authors.forename: Deepak
authors.initials: D
authors.lastname: Dubey
authors.forename: Anil
authors.initials: A
authors.lastname: Mandhani
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D012809:Colon, Sigmoid / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007194:India; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery*; D017060:Patient Satisfaction; D013577:Syndrome; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*