EVOLUTION OF THE METHODS OF NEOVAGINOPLASTY FOR VAGINAL APLASIA

The aim of vaginoplasty should be the creation without excessive morbi dity of a neovagina that will be satisfying in appearance, function an d feeling. The multitude of methods described in the literature indica tes the fact that an ideal approach has not yet been found. In this pa per the various methods are described and discussed. It is concluded t hat the non-operative impression technique, the peritoneum pull-throug h technique and the use of skin grafts are methods of choice. In cases where immediate vaginal reconstruction after oncological surgery is i ndicated, myocutaneous flaps are preferred. Only in cases in which oth er methods have failed should recto-sigmoid transplantation be conside red.