Tissue expansion vaginoplasty for treatment of congenital vaginal agenesis

Richard M. Chudacoff, Janette Alexander, Ruben Alvero, James H. Segars

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Background: A patient with congenital vaginal agenesis was unsuccessful 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 exceeding 8 cm in depth. Conclusion: A modified method of tissue expansion vaginoplasty using a bipedicle flap is an option for the surgical creation of a vaginal orifice.

Original languageEnglish (US)
Pages (from-to)865-868
Number of pages4
JournalObstetrics and gynecology
Issue number5 PART 2
StatePublished - 1996
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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