TISSUE EXPANSION VAGINOPLASTY FOR TREATMENT OF CONGENITAL VAGINAL AGENESIS

Background: A patient with congenital vaginal agenesis was unsuccessfu l in the use of dilation to create a vaginal orifice and rejected the option of a buttock graft. Case: Two tissue expanders were introduced beneath the labia majora bilaterally and slowly expanded over 4 weeks. Redundant labial tissue was advanced as a bipedicle flap to line the neovagina created intraoperatively. Postoperative stent placement and dilation resulted in a vaginal canal lined by full-thickness mucosa ex ceeding 8 cm in depth. Conclusion: A modified method of tissue expansi on vaginoplasty using a bipedicle flap is an option for the surgical c reation of a vaginal orifice.