title: Vaginoplasty technique using vulvoperineal flaps.
abstract: The incidence of vaginal agenesis is 1 in 5,000 live newborn baby girls. The most frequent cause is Mayer-Rokitansky-Küster-Hauser syndrome. This report presents three reconstruction cases managed with vulvoperineal fasciocutaneous flaps in patients experiencing this syndrome. It depicts the stages of the procedure and the anatomic bases for it. This technique allows the creation of a sensitive neovagina with high-quality coverage that provides a physiologic and a natural inclination angle together with a correct anatomic axis to make a sexual relationship possible. The procedure is performed in one surgical stage with minimum morbidity for the patient. Its major inconvenience is hair growth inside the vagina. Nevertheless, this decreases as time passes due to follicle atrophy and cutaneous metaplasia.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Department of Plastic and Reconstructive Surgery, HIGA Eva Perón, San Martín, Argentina.
authors.forename: Héctor
authors.initials: H
authors.lastname: Lanza
authors.affiliation: Department of Plastic and Reconstructive Surgery, HIGA Eva Perón, San Martín, Argentina.
authors.forename: Juan
authors.initials: J
authors.lastname: Balestrelli
authors.affiliation: Department of Plastic and Reconstructive Surgery, HIGA Eva Perón, San Martín, Argentina. damipastoni@hotmail.com.
authors.forename: Damián
authors.initials: D
authors.lastname: Pastoni
authors.affiliation: Department of Plastic and Reconstructive Surgery, HIGA Eva Perón, San Martín, Argentina.
authors.forename: Javier Fernández
authors.initials: JF
authors.lastname: Molero
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010502:Perineum / Q000601:surgery; D013524:Surgical Flaps; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D014844:Vulva / Q000637:transplantation; D055815:Young Adult