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Treatment of Vaginal Shortening and Narrowing With Autologous Buccal Mucosa Graft Augmentation Without Vaginal Mold

Berger, Alexander A., MD, MPH*; Echols, Karolynn T., MD

Female Pelvic Medicine & Reconstructive Surgery: January/February 2019 - Volume 25 - Issue 1 - p e1–e3
doi: 10.1097/SPV.0000000000000648
Case Report
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Vaginal foreshortening can occur after hysterectomy leading to inability to engage successfully in vaginal intercourse resulting in decreased quality of life. Vaginal elongation using autologous buccal mucosal graft with mold and postoperative bed rest has been reported extensively for vaginal stenosis and foreshortening, but graft without mold has never been described. A 61-year-old woman 5 years after robotic-assisted hysterectomy with foreshortened vagina and vaginal stricture sought care secondary to the inability to have sexual intercourse. Her vagina was successfully repaired with autologous buccal mucosal grafting without the use of a vaginal mold facilitating a next-day discharge and ultimately ability to resume intercourse. Vaginal shortening and narrowing after hysterectomy can be repaired using autologous buccal mucosal grafting without the need for a vaginal mold or 5 to 7 days of bed rest.

An autologous buccal mucosal graft was used without vaginal mold for vaginal shortening and narrowing after hysterectomy.

From the *Department of Reproductive Medicine, Division of Female Pelvic Medicine and Reconstructive Surgery, UC San Diego Health System, La Jolla, CA; and

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.

Correspondence: Alexander A. Berger, MD, MPH, Department of Reproductive Medicine, Division of Female Pelvic Medicine and Reconstructive Surgery, UC San Diego Health System, 9500 Gilman Drive, MC 0971, La Jolla, CA 92093-0971. E-mail: alexanderbergermd@gmail.com.

The authors have declared that there are no conflicts of interest and no funding.

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