Creation of a sigmoid neovagina: technique and results in 16 cases

European Journal of Obstetrics, Gynecology, and Reproductive Biology
C Louis-SylvestreB J Paniel

Abstract

For correction of the absence of vagina, sigmoidal colpoplasty is believed to provide a neovagina immediately adequate and with permanent patency. We present one of the largest series and discuss advantages and drawbacks of this procedure. Our personal technique is described and 16 consecutive cases are reviewed. Anatomical (depth and width of the neovagina) and functional (existence of discharge and coital function) aspects are addressed. An adequate neovagina was obtained in every case, however, in nine cases iterative dilatations were previously required. Two prolapses of the nevagina were noticed and required surgical treatment. The follow up ranges from 6 to 36 months. At this point, only nine patients report intercourse. In five cases a psychological brake is strongly suspected to interfere. Four patients experience significant discharge. Despite satisfactory anatomical results, the sigmoid neovagina is not always immediately suitable. Complete adequacy for coital function often requires prolonged care and support.

References

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Apr 1, 1994·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·T S Ghosh, E Y Kwawukume
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Citations

Mar 22, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Emilio ImparatoArsenio Spinillo
Sep 13, 2003·Fertility and Sterility·Pierre-Henri CommunalDaniel Raudrant
Aug 20, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Gad LotanAriel Halevy
Oct 29, 2010·International Journal of Pediatric Endocrinology·Ganka DouglasV Reid Sutton
Mar 25, 2006·Journal of Negative Results in Biomedicine·Agnès BurelDaniel Guerrier
Mar 16, 2007·Orphanet Journal of Rare Diseases·Karine MorcelDaniel Guerrier
Oct 12, 2013·International Urogynecology Journal·Sarah K McQuillan, Sonia R Grover
Apr 5, 2014·The Journal of Sexual Medicine·Mark-Bram BoumanMargriet G Mullender
Apr 18, 2002·The Journal of the American Association of Gynecologic Laparoscopists·Emile DaraïJean-Luc Bouillot
Nov 6, 2009·American Journal of Obstetrics and Gynecology·Luigi FedeleStefano Bianchi
Aug 24, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S HuetT Gauthier

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