Construction of an artificial vagina with sigmoid colon in vaginal agenesis.

OBJECTIVES

The study of 15 cases of colonic reconstruction for absent vagina. The outcome in cases of reconstruction of an artificial vagina using the colon is evaluated.

METHODS

Fifteen female patients with congenital absence of vagina who were evaluated and treated with sigmoid colonic reconstruction at the Korle-Bu Teaching Hospital in Accra, Ghana were studied.

RESULTS

This reconstructive method is successful in patients having a functioning vagina without progressive shrinkage or other symptoms. Disfigurement of the thighs and labia are avoided as is the need for active manipulation.

CONCLUSION

Sigmoid colonic reconstruction for vaginal agenesis is an acceptable method especially in the developing world.