BACKGROUND: Colpopoiesis using the sigmoid colon may be used in treatment of patients with Mayer-Rokitansky-Kuster-Hauser syndrome. Prolapse of a sigmoid neovagina is rare and its treatment is not yet standardized.
CASES: Two patients developed severe prolapse of a neovagina derived from the sigmoid colon. One patient underwent resection of the redundant sigmoid and an abdominal suspension procedure; however, the prolapse has recurred. The other patient was treated by removal of the entire sigmoid artificial vagina. An alternative neovagina was reconstructed with a pudendal thigh flap. She has no signs of recurrent prolapse and is satisfied with sexual intercourse.
CONCLUSION: Replacement therapy by a connected skin graft may be an excellent optional method as a radical treatment for prolapse of a sigmoid neovagina.
Among two patients with prolapse of a sigmoid neovagina, one patient who underwent reconstruction surgery using a pudendal thigh flap has been making satisfactory progress.
Department of Obstetrics and Gynecology, Gastrointestinal and Colorectal Surgery, and Plastic and Reconstructive Surgery, Tohoku University School of Medicine, Sendai, Japan
Address reprint requests to: Rei Yokomizo, MD, Tohoku University School of Medicine, Department of Obstetrics and Gynecology, 1-1 Seiryou-mach, Aobaku, Sendai, 980-8574, Japan; E-mail: firstname.lastname@example.org.
Received December 18, 2001. Received in revised form February 26, 2002. Accepted March 14, 2002.