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01-09-2007 | Original Article

Vaginal reconstruction with sigmoid colon in vaginal agenesis

Authors: Helmy M. El-Sayed, Ismail K. El-Lamie, Ahmed M. Ibrahim, Khalil I. El-Lamie

Published in: International Urogynecology Journal | Issue 9/2007

Abstract

This study was conducted to evaluate the anatomical and functional results of sigmoid colon vaginoplasty. From June 2000 to June 2005, 26 patients with congenital vaginal agenesis were evaluated and treated with sigmoid colon reconstruction at Ain Shams University Maternity Hospital as a primary procedure in 17 patients and a secondary procedure in 9 patients after previous failed Abbe–McIndoe vaginoplasty elsewhere.The anatomical results were good in 22 patients, while 3 patients suffered from introital stenosis. Two of them were treated successfully by dilatation while one required Z-plasty. Eight patients were lost to follow-up and only ten patients are currently sexually active as the rest were divorced or remained unmarried. Of the sexually active patients, 8 (80%) had satisfactory intercourse whereas 2 (20%) complained of dyspareunia. Sigmoid colon vaginoplasty has satisfactory long-term anatomical and functional results and should be considered as primary option for the treatment of vaginal agenesis.

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Title: Vaginal reconstruction with sigmoid colon in vaginal agenesis
Authors: Helmy M. El-Sayed
Ismail K. El-Lamie
Ahmed M. Ibrahim
Khalil I. El-Lamie
Publication date: 01-09-2007
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-006-0287-3

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Vaginal reconstruction with sigmoid colon in vaginal agenesis

Abstract

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