title: Vaginoplasty With Full-thickness Mesh Skin Graft for Vaginal Agenesis.
abstract: OBJECTIVE
  To present a novel technique in reconstructive urology for congenital vaginal agenesis using a full-thickness mesh skin graft and to evaluate the functional capacity for maintenance of satisfactory intercourse.
  
  
  METHODS
  From January 2009 to August 2015, seven patients diagnosed with vaginal agenesis underwent vaginoplasty using a full-thickness mesh graft from lower abdominal skin. Herein, the authors describe the technique and initial results in adult patients.
  
  
  RESULTS
  The mean hospital stay was 8 days. There were no major complications or need for blood transfusions. The most relevant postoperative result was the functionality of the neovagina and satisfactory donor site results. At 6-month follow-up, all patients reported satisfactory sexual intercourse. The average depth of the vagina was 11.3 cm. There were no significant complications at donor site or at neovagina that needed surgical intervention.
  
  
  CONCLUSIONS
  We obtained positive functional results with minimal donor site morbidity by performing vaginal reconstruction using a full-thickness mesh skin graft.
authors: Urology Department of Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. Electronic address: glangmotta@hcpa.edu.br.
authors: Guilherme Lang
authors: GL
authors: Motta
authors: Urology Department of Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors: Patric Machado
authors: PM
authors: Tavares
authors: Urology Department of Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors: Lucas Medeiros
authors: LM
authors: Burttet
authors: Urology Department of Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors: Milton
authors: M
authors: Berger
authors: Urology Department of Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors: Brasil
authors: B
authors: Silva Neto
authors: Urology Department of Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors: Tiago Elias
authors: TE
authors: Rosito
mesh_terms: D000293:Adolescent; D000328:Adult; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods*; D013526:Surgical Mesh; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery; D055815:Young Adult