title: Labial flap vaginoplasty with sacrospinous fixation.
abstract: We present a case of congenital absence of Vagina which was treated by reconstruction of the vagina using vascular labial flaps. Furthermore, we anchored the neo-vagina to the Sacro-spinous ligament on either side. The aim of the attachment to the sacro-spinous ligament is to provide a durable apical support and to give an immediate, good vaginal length. Various techniques have been described for the construction of Neo-vagina. Except for sigmoid vaginoplasty, most other procedures are associated with a significant risk of post-operative restenosis, for which prolonged dilatation is necessary. Attaching to the sacro-spinous ligament gives the vagina good depth and, to some extent, decreases the risk of re-stenosis. This technique is simpler, does not require sophisticated instruments or prolonged post operative dilatation and is particularly suitable for under-developed countries.
authors.affiliation: Department of Gynaecology, Global Hospital, Bangalore, India.
authors.forename: Chandrashekar
authors.initials: C
authors.lastname: Murthy
authors.affiliation: Department of Gynecology, Pes Medical College, Kuppam, India.
authors.forename: Kiran
authors.initials: K
authors.lastname: Ashok
authors.affiliation: Tara Hospital, Koppal, India.
authors.forename: Susheel Kumar
authors.initials: SK
authors.lastname: Kalal
keywords: Vaginoplasty; sacrospinous ligament