Artificial construction of a functional vagina for congenital vaginal aplasia or colpectomy

The creation of new vagina is usually necessary in cases of congenital vaginal aplasia or in cases of destruction or removal of the vagina because of malignant disease (surgery, radiotherapy). Different new vagina and reconstructive surgical procedures are compared in detail (distension of the rudimental vaginal pouch, skin transplantation, musculocutaneous flap, sigmoid or cecum neovagina), and the selection of different surgical techniques is guided by personal experience.