M A Baky Fahmy
  • Cairo
  • Egypt
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Al Azher
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Applicability of Stapled Sigmoid Colon Graft for Vaginal Replacement (colovaginoplasty) at Young Age

Objective: - To evaluate the applicability, feasibility, complications, short and long term results of vaginoplasty by using sigmoid colon graft with stapler assist for resuming colonic continuity in children with absent vagina.

Patients and Methods: - Records of 17 patients, 12 of them had Congenital Adrenal Hyperplasia, 3 had Androgen Insensitivity Syndrome and 2 had vaginal atresia underwent sigmoid graft vaginal reconstruction with the aid of circular stapler during the period from 2005 to 2010 were reviewed retrospectively.

Results: A neovagina was constructed in 17 patients aged from 1 to 8 years (mean 3 years), where sigmoid colon was used in all patients. Hospital stay ranged from 5 to 12 days (mean 7), operative time ranged from 60 to 120 min (mean 75). Complications occurred in 4 patients, introital stenosis in 2 patients, and 2 cases had minor wound infection. The need for neovaginal dilation was indicated in 5 out of 17 patients. There was no complications related to bowel anastomosis, No mortality in this group, the cosmetic results were excellent in all cases, with good patient satisfaction.

Conclusion: Sigmoid colovaginoplasty appears to be applicable for remedy of vaginal atresia at any age. It is associated with a less complication rate, the long term results is satisfactory and it seems better technique than skin flaps, especially in girls who doesn’t expect sexual activity shortly after surgery.

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