Augmentation Vaginoplasty of Colonic Neovagina Stricture Using Oral Mucosa Graft

• Published in: Journal of pediatric & adolescent gynecology Vol. 23; no. 1; pp. e39 - e42
• Main Authors: Oakes, Meghan B., MD, Beck, Stacy, MD, Smith, Yolanda R., MD, MS, Quint, Elisabeth H., MD, Park, John M., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2010
• Subjects: Anal Canal; Cloacal exstrophy; Female; Gynecologic Surgical Procedures - methods; Humans; Mouth Mucosa - transplantation; Neovagina; Obstetrics and Gynecology; Oral mucosa; Pediatrics; Rectum - abnormalities; Stricture; Tissue graft; Tissue Transplantation - methods; Urethra - abnormalities; Vagina - abnormalities; Vagina - surgery; Vaginal reconstruction; Young Adult; Vaginal reconstruction; Stricture; Tissue graft; Cloacal exstrophy; Neovagina; Oral mucosa
• ISSN: 1083-3188; 1873-4332
• DOI: 10.1016/j.jpag.2009.03.006

Abstract Background Vaginal reconstruction is performed for a variety of congenital and acquired anomalies, and several techniques have been described. Conventional neovaginal reconstructions typically involve skin grafts or vascularized intestinal segments. Oral mucosa has been used successfully in urethral reconstruction, and several long-term studies have demonstrated its surgical versatility and durability. Case Report Here we present the successful use of an oral mucosal graft in the surgical treatment of a strictured, colonic neovagina in a 19-year-old, 46XX female with cloacal exstrophy. Conclusion Though the literature contains reports of oral mucosal grafts in primary gynecologic surgeries, this is the first report describing the use of buccal mucosa for a secondary, neovagina reconstruction. Based on the outcome of our case, we conclude that oral mucosa is a promising graft material suitable for vaginal reconstructions.