LAUSR

BACKGROUND Vaginal agenesis is a rare condition with different surgical technique to achieve the purpose of neovaginal reconstruction. The main difference of various approach lies in the graft material used in covering the newly-formed cavity. OBJECTIVES The purpose of this retrospective study was to describe the surgical procedure and outcomes of autologous buccal mucosal grafting in the reconstruction of neovaginal. METHODS Sixteen patients with vaginal agenesis admitted in our department between January 2016 and January 2019 were included in our study. The procedure was successfully conducted in all of the patients with autologous buccal mucosa as graft material. The surgical procedure was carefully described in this article. The long-term anatomical and functional outcomes were evaluated in this study. RESULTS The blood loss during operation was estimated to be 15-20 ml in all cases. No rectal or bladder injury occurred. The buccal mucosal wound completely healed 10-14 days after the operation. All patients had a well-formed neovagina with 8-10 cm length, > 3 finger-breadths mean diameters. CONCLUSION The application of autologous buccal mucosa in neovagina construction is a simple procedure. Autologous buccal mucosa is an ideal material to achieve excellent cosmetic and functional results in patients with vaginal agenesis.