Objective To evaluate the applicability, feasibility, complications, short and long term results of vaginoplasty by using sigmoid colon graft with the use of stapler for resuming colonic continuity in children with absent vagina.
Patients and Methods The records of 17 patients, 12 of them had Congenital Adrenal Hyperplasia (CAH), 3 had Androgen Insensitivity Syndrome (AIS) and 2 had vaginal atresia underwent sigmoid graft vaginal reconstruction with the aid of circular stapler during a period of 5 year from 2005 to 2010 were reviewed retrospectively.
Results A neovagina was constructed in 17 patients aged from 1 to 8 years (mean 3 years) during the study period, 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, one of them necessitates revision of the introits and 2 cases had wound minor infection. The need for neovaginal dilation was indicated in only 8 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 and 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.