Abstract
The incidence of vaginal agenesis is 1 in 5,000 live newborn baby girls. The most frequent cause is Mayer–Rokitansky–Küster–Hauser syndrome. This report presents three reconstruction cases managed with vulvoperineal fasciocutaneous flaps in patients experiencing this syndrome. It depicts the stages of the procedure and the anatomic bases for it. This technique allows the creation of a sensitive neovagina with high-quality coverage that provides a physiologic and a natural inclination angle together with a correct anatomic axis to make a sexual relationship possible. The procedure is performed in one surgical stage with minimum morbidity for the patient. Its major inconvenience is hair growth inside the vagina. Nevertheless, this decreases as time passes due to follicle atrophy and cutaneous metaplasia.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Capraro VJ, Gallego MB (1976) Vaginal agenesis. Am J Obstet Gynecol 124:98
González Sarasúa J, Lázaro Álvarez MJ (2001) Vaginal reconstruction with McIndoe technique. Plast Surg Iberolatinoam 27:217
Giraldo F, Pérez-Bryan L, Villegas E, González C, Ferrer A (2001) Partial or complete reconstruction of the vagina in congenital malformations and acquired defects using the málaga flap. Plast Surg Iberolatinoam 27:223
Giraldo F, Gaspar D, González C, Bengoechea M, Ferron M (1994) Treatment of vaginal agenesis with vulvoperineal fasciocutaneous flaps. Plast Reconstr Surg 93:131
Giraldo F, Mora MJ, Solano A, Abehsera M, Ferron M, Smith JM (1997) Anatomic study of the superficial perineal neurovascular pedicle: implications in vulvoperineal flap design. Plast Reconstr Surg 99:100
Giraldo F, Mora MJ, Solano A et al (1999) Anatomic study of the superficial perineal vulvoperineal neurovascular pedicle: implications in vulvoperineal flap design. Plast Reconstr Surg 99:100
Abbé R (1898) New method of creating a vagina in case of congenital absence. Med Reconcil 54:836
Bruck HG (1970) Erfahrungen mit der Dermatoscheidenplastik. Wien Wochenschr 82:562
Johnson N, Batchelor A, Lilford RJ (1991) Experience with tissue expansion vaginoplasty. Br J Obstet Gynaecol 98:564
Flack CE, Barraza MA, Stevens PS (1993) Vaginoplasty: combination therapy using labia minora flaps and lucite dilators: preliminary report. J Urol 150:654
Lilford RJ, Johnson N, Batchelor A (1989) A new operation for vaginal agenesis: construction of a neovagina from a rectus abdominis musculocutaneuos flap. Br J Obstet Gynaecol 96:1089
Johnson N, Batchelor A, Lilford RJ (1991) The free-flap vaginoplasty: a new surgical procedure for the treatment of vaginal agenesis. Br J Obstet Gynaecol 98:184
Xiong S, Zhan W, Cheng X (1993) Vaginal reconstruction with an island flap of the inferior epigastric vascular pedicle. Plast Reconstr Surg 92:271
Giraldo F, Solano A, Mora MJ, Smith V (1998) Hair growth in the vagina after reconstruction with pudendal thigh flaps in congenital vaginal agenesis. Plast Reconstr Surg 102:924
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lanza, H., Balestrelli, J., Pastoni, D. et al. Vaginoplasty Technique Using Vulvoperineal Flaps. Aesth Plast Surg 38, 164–168 (2014). https://doi.org/10.1007/s00266-013-0220-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-013-0220-3