Vaginoplasty (neovaginoplasty) is a reconstructive surgical procedure for creating a neovagina. Neovaginal reconstruction is indicated in the congenital absence of the vagina (Mayer-Rokitansky-Kuster-Hauser Syndrome), intersex conditions, conditions after pelvic exonerative procedures for tumors or trauma.
Vaginal absence has a devastating impact on a young woman’s life. Thus, in such cases, creation of a functioning neovagina is an imperative. Vaginal reconstruction is inevitable in the case of vaginal agenesis, disorders of sexual development, transsexualism, defects resulting from genital cancer surgeries, and trauma.
In patients with either insufficient vaginal cavity or previously failed surgery, sigmoid colon presents the material of choice for vaginal reconstruction. Use of a sigmoid colon loop seems a most favorable choice, due to anatomical proximity and easy mobilization of the vascular pedicle of this part of the bowel. In recent decades, due to progress in anesthesiology, antibiotics, and reduced risks associated with colorectal anastomosis, the sigmoid pedicled flap has become a first-line option in both children and adults.