[Clinical analysis of vaginoplasty with sigmoid colon by laparoscopic surgery].
OBJECTIVE
To study clinical effect of vaginoplasty with sigmoid colon by laparoscopic surgery.


METHODS
Clinical data of 45 cases with laparoscopic vaginoplasty using a vascularized pedicled sigmoid colon flap were reviewed, including 41 cases with congenital absence of vagina and 4 cases with male pseudohermaphroditism. Operation time, blood loss, the anatomical and functional newly forming vagina were evaluated.


RESULTS
The sigmoid colon colpopoiesis was preformed successfully in all 45 cases. The range of operation time was 135 - 245 minutes and the mean time was 157 minutes. The mean blood loss was 82 ml during operation. The artificial vaginas had excellent cosmetic outcome, including adequate vaginal length, good lubrication, and appearance and physical functions similar to natural vagina. A vaginal mould was employed for more than 3 months in 34 cases, achieving a good dilatation of the artificial vagina. Twenty-five patients with satisfied sexual intercourse were reported.


CONCLUSIONS
Laparoscopic vaginoplasty using a vascularized pedicled sigmoid colon flap is a feasible and ideal management.
Li
Bin
B
Department of Obstetrics and Gynecology, Beijing Anzhen Hospital of Capital University of Medical Sciences, Beijing 100029, China.
Wang
Jun
J
Wu
Ji-xiang
JX
Wang
Li-ying
LY
D000328:Adult; D012809:Colon, Sigmoid / Q000637:transplantation*; D000013:Congenital Abnormalities / Q000601:surgery*; D058490:Disorder of Sex Development, 46,XY / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult