Reconstruction of Congenital Defects of the Vagina

 

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ABSTRACT

Congenital absence of the vagina is a relatively rare condition most commonly associated with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Historically, several reconstructive techniques have been described to provide for functional vaginal reconstruction on these patients, both operative and nonoperative. Although there are many advantages and disadvantages of the various procedures, one experience with the use of split thickness skin grafts to reconstruct the vagina has produced acceptable functional results with limited donor site morbidity. Careful planning and timing of this form of reconstruction can produce predictable results in patients who are nearing sexual maturity.

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Jeffery D FriedmanM.D. 

The Methodist Hospital, Institute for Reconstructive Surgery

6560 Fannin, Suite 2200, Scurlock Tower, Houston, TX 77030

Email: JFriedman@tmhs.org