Use of bowel for vaginal reconstruction

W. H. Hendren, A. Atala

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

There is a wide range of congenital vaginal abnormalities that can be reconstructed using bowel. From 1964 to 1993 we used bowel for vaginal reconstruction in 65 patients and all but 5 were treated since 1981. Patient age ranged from 9 months to 26 years. In 29 patients the bowel was used to extend a short vagina to the perineum, and in 36 the entire vagina was absent and required a substitute vagina. Indications for surgery included cloacal malformations in 34 cases, congenital absence of vagina in 12, cloacal exstrophy in 9 genetic male subjects, postoperative exenteration in 7, intersex in 2 and bladder exstrophy in 1. Rectum was used in 12 cases, sigmoid colon in 27 and small bowel in 26. Ten patients who are now adults have reported satisfactory coitus.

Original languageEnglish
Pages (from-to)752-755
Number of pages4
JournalJournal of Urology
Volume152
Issue number2 II
StatePublished - Jan 1 1994
Externally publishedYes

Fingerprint

Vagina
Bladder Exstrophy
Perineum
Coitus
Sigmoid Colon
Rectum

Keywords

  • cloaca
  • intersexuality
  • vagina

ASJC Scopus subject areas

  • Urology

Cite this

Hendren, W. H., & Atala, A. (1994). Use of bowel for vaginal reconstruction. Journal of Urology, 152(2 II), 752-755.

Use of bowel for vaginal reconstruction. / Hendren, W. H.; Atala, A.

In: Journal of Urology, Vol. 152, No. 2 II, 01.01.1994, p. 752-755.

Research output: Contribution to journalArticle

Hendren, WH & Atala, A 1994, 'Use of bowel for vaginal reconstruction', Journal of Urology, vol. 152, no. 2 II, pp. 752-755.
Hendren WH, Atala A. Use of bowel for vaginal reconstruction. Journal of Urology. 1994 Jan 1;152(2 II):752-755.
Hendren, W. H. ; Atala, A. / Use of bowel for vaginal reconstruction. In: Journal of Urology. 1994 ; Vol. 152, No. 2 II. pp. 752-755.
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