Labia minora skin flap vaginoplasty using tissue expansion / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>This is to introduce a method for vagina reconstruction using the expanded labia minora flap.</p><p><b>METHODS</b>Two tissue expanders were implanted in the labia minora bilaterally and expanded slowly over 4 weeks. In the operation, the expanded labial tissue was advanced as a bipedicle flap to line the reconstructed vagina. Five patients were treated with this method. Postoperative stent placement and dilation resulted in a vaginal canal exceeding 8 cm in depth.</p><p><b>RESULTS</b>During the follow-up of 6 months to 2 years, four of the five patients got married. The vulva exhibited almost indistinguishable appearance. The reconstructed vagina had sensory and secretary functions. Its morphology and depth well meet the physiological demand.</p><p><b>CONCLUSIONS</b>The modified method of tissue expansion vaginoplasty using the labia minora bipedicle flap is a good option for vagina surgery. The reconstructed vagina possesses the anatomical and physiological resemblance.</p>