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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access April 17, 2010

Introito-cervical sigmoid colon transpositioning procedure

Cetim Cam, Cem Celik, Mustafa Sakalli, Bahar Baykal and Ates Karateke
From the journal Open Medicine


The reported incidence of vaginal agenesis varies from 1 in 4,000 to 1 in 80,000 and individuals with congenital absence of vagina usually are first seen by a gynecologist at ages 14 to 15 years, when the absence of menses causes concern. A colon-introitus anastomosis was performed with interrupted absorbable sutures after opening peritoneum on müllerien dimple by sharp dissection using a guide inserted through the created perineo-abdominal tunnel. A rare case of vaginal agenesis with a septate uterus and normal tubes and ovaries is reported. Sigmoid vaginoplasty seemed the most appropriate procedure for the case and the continuity of the genital tract was well established as the patient menstruated vaginally after the operation.

[1] Fore S.R., Hammond C.B., Parker R.T., Anderson E.E., Urologic and genital abnormalities in patients with congenital absence of vagina, Obstet. Gynecol., 1975, 46, 410 Search in Google Scholar

[2] Frank R.T., The formation of an artificial vagina without operation, Am. J. Obstet. Gynecol., 1938, 35, 1053–1055 10.1016/S0002-9378(38)90400-4Search in Google Scholar

[3] Vecchietti G., Creation of an artificial vagina in Rokitansky-Kuster-Hauser syndrome, Attual. Ostet. Gynecol., 1965, 11, 131–147 Search in Google Scholar

[4] McIndoe A.H., Banister J.B., An operation for the cure of congenital absence of the vagina, J. Obstet. Gynaecol. Br. Common., 1938, 45, 490–494 10.1111/j.1471-0528.1938.tb11141.xSearch in Google Scholar

[5] Karateke A., Gurbuz A., Haliloglu B., Kabaca C., Koksal N., Intestinal vaginoplasty: is it optimal treatment of vaginal agenesis? A pilot study Surgical method of sigmoid colon vaginoplasty in vaginal agenesis, Int. Urogynecol. J. Pelvic. Floor. Dysfunc., 2006, 17, 40–45 in Google Scholar

[6] Rajimwale A., FurnessIII P.D., Brant W.O., Koyle M.A., Vaginal construction using sigmoid colon in children and young adults. BJU International., 2004, 94, 115–119 in Google Scholar

[7] Darai E., Toullalan O., Besse O., Potiron L., Delga P., Anatomic and functional results of laparoscopic-perineal neovagina construction by sigmoid colpoplasty in women with Rokitansky’s syndrome, Human Reproduction, 2003, 11, 2454–2459 in Google Scholar

[8] Kapoor R., Sharma D.K., Singh K.J., Suri A., Singh P., Chaudhary H., et al., Sigmoid vaginoplasty.long-term results, J. Urol. 2006, 67, 1212–1215 in Google Scholar

[9] Martinez-Mora J., Isnard R., Castellvi A., Lopez Ortiz P., Neovagina in vaginal agenesis:surgical methods and long-term results, J. Pediatr. Surg., 1992, 27, 10–14 in Google Scholar

[10] Hendren W.H.., Atala A., Use of sigmoid bowel for vaginal reconstruction, J. Urol. 1992, 152, 752–755 10.1016/S0022-5347(17)32698-8Search in Google Scholar

[11] Hensle T.W., Reiley E.A., Vaginal replacements in children and young adults, J. Urol., 1998, 159, 1035–1038 in Google Scholar

[12] Tillem S.M., Stock J.A,. Hanna M.K., Vaginal Construction in children, J. Urol., 1998, 160, 186–190 in Google Scholar

Published Online: 2010-4-17
Published in Print: 2010-4-1

© 2008 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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