Clinical analysis of vaginoplasty with sigmoid colon by laparoscopic surgery / 中华妇产科杂志

ABSTRACT

Objective To study clinical effect of vaginoplusty with sigmoid colon by laparoscopic surgery. Method Clinical data of 45 cases with laparuscopic vaginoplasty using a vuscularized pedicled sigmoid colon flap were reviewed, including 41 cases with congenital absence of vagina and 4 cases with male pseudohermaphroditism. Operation time, blood loss, the anatomical and functional newly forming vagina were evaluated. Results The sigmoid colon colpopoiosis was preformed successfully in all 45 cases. The range of operation time was 135-245 minutes and the mean time was 157 minutes. The mean blood loss was 82 ml during operation. The artificial vaginas had excellent cosmetic outcome, including adequate vaginal length, good lubrication, and appearance and physical functions similar to natural vagina. A vaginal mould was employed for more than 3 months in 34 cases, achieving a good dilatation of the artificial vagina. Twenty-five patients with satisfied sexual intercourse were reported. Conclusion Laparoscopic vaginoplasty using a vuscularized pedicled sigmoid colon flap is a feasible and ideal management.