title: Radical hysterectomy and vaginectomy with sigmoid vaginoplasty for stage I vaginal carcinoma.
abstract: OBJECTIVE
  To evaluate the therapeutic value of radical hysterectomy and vaginectomy with sigmoid vaginoplasty among patients with International Federation of Gynecology and Obstetrics stage I vaginal carcinoma.
  
  
  METHODS
  A retrospective study was conducted of 5 women (age range, 45-55years) with stage I vaginal carcinoma who underwent surgery at Shengjing Hospital of China Medical University, Shenyang, China, between January 4, 2009, and December 30, 2011. All participants had lesions in the upper third of the vagina and wished to retain sexual function. Patients underwent radical hysterectomy and vaginectomy with pelvic lymphadenectomy, followed by sigmoid vaginoplasty for vaginal reconstruction.
  
  
  RESULTS
  The mean operative time was 248.0±39.6minutes and the mean intraoperative blood loss was 335.0±76.6mL. All patients recovered well after surgery and no delayed complications or recurrence were experienced during a mean follow-up of 22.8±9.98months. None of the patients developed vaginal stenosis and all were satisfied with their postoperative sexuality. The mean Female Sexual Function Index was 28.0±1.92.
  
  
  CONCLUSIONS
  Radical hysterectomy and vaginectomy with sigmoid vaginoplasty was a reasonable option for patients with stage I vaginal carcinoma who wished to retain sexual function after surgery.
authors.affiliation: Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
authors.forename: Duo
authors.initials: D
authors.lastname: Yin
authors.forename: Ning
authors.initials: N
authors.lastname: Wang
authors.forename: Shulan
authors.initials: S
authors.lastname: Zhang
authors.forename: Naichen
authors.initials: N
authors.lastname: Huo
authors.forename: Qian
authors.initials: Q
authors.lastname: Xiao
authors.forename: Ouyang
authors.initials: O
authors.lastname: Ling
authors.forename: Yanming
authors.initials: Y
authors.lastname: Lu
authors.forename: Heng
authors.initials: H
authors.lastname: Wei
mesh_terms: D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002681:China; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods; D008875:Middle Aged; D009367:Neoplasm Staging; D061646:Operative Time; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology; D014621:Vagina / Q000473:pathology / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000473:pathology / Q000601:surgery*