title: A case of vaginoplasty without grafting.
abstract: BACKGROUND
  Many techniques have been used to create a neovagina in patients with vaginal agenesis, and several surgical procedures involve the use of a graft. Grafting techniques are associated with intraoperative and postoperative morbidity and complications, at both the donor and the recipient site.
  
  
  METHODS
  A 17-year-old patient with Mayer-Rokitansky-Kuster-Hauser syndrome complicated by unilateral pelvic kidney underwent successful vaginoplasty without the use of a graft, followed by insertion of a vaginal stent for 12 weeks. She had a functional, well-healed, and fully epithelialized neovagina by 6.5 months postoperatively.
  
  
  CONCLUSIONS
  Patients undergoing surgical vaginoplasty may benefit from this simple surgical technique, thereby avoiding the morbidity associated with the alternative grafting techniques commonly used in practice.
authors.affiliation: Department of Obstetrics and Gynecology, Queen's University, Kingston, Ontario, Canada.
authors.forename: K J
authors.initials: KJ
authors.lastname: Pulman
authors.affiliation: Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Kives
authors.affiliation: Department of Obstetrics and Gynecology, Queen's University, Kingston, Ontario, Canada. Electronic address: maj3@queensu.ca.
authors.forename: M A
authors.initials: MA
authors.lastname: Jamieson
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery*; D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D000013:Congenital Abnormalities; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D009095:Mullerian Ducts / Q000002:abnormalities; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D015607:Stents; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*