Review of Surgical Neovagina Techniques and Management of Vaginal Stricture.

Abstract Objective : To review the currently available methods for surgical and non-surgical neovaginal creation with an additional focus on situations requiring vaginal stretching, replacement or augmentation and the management of vaginal stenosis or stricture. Design : Review of the existing literature Methods : PUBMED search with keywords vaginal agenesis, neovaginal creation, vaginoplasty, vaginal stretching, vaginal augmentation, vaginal stenosis, outcomes of vaginoplasty, mullerian anomalies, vaginal anomalies Results : The need to perform vaginal stretching, replacement or augmentation will vary depending on the underlying reproductive tract condition. Conclusions : A variety of techniques have been described to performed vaginal stretching, replacement or augmentation. There are risks and benefits to each technique. Vaginal stricture and stenosis remain a difficult problem given the high rates of this complication in patients undergoing these procedures. While several techniques can alleviate this problem, they rely on the thickness of the stenosis and the location of the stenosis within the vagina.