Augmentation Vaginoplasty

Tarek Osman, Ahmad Elshahat, Mohammad Abdelghany, Amr Gamal
Department of Urology and Plastic Surgery, Ain Shams University

In this video we present a technique for treatment of extensive  vaginal stenosis following multiple surgeries and/or inflammatory processes involving the lower female genito-urinary tract. The patient has severe stress incontinence as well.  First a posterolateral longitudinal vaginal incision is made and dissection is performed to create a large vaginal wall defect measuring at least 12×7 cm. A rectus fascia sling is carried out and appled as usual through a separate anterior vaginal incision. A suitable full thickness medial thigh flap is harvested and medially rotated and sutured in an inlay fashion to the posterolateral vaginal wall. The resulting vagina is capacious and can admit easily two fingers. Postoperatively,  the patient is satisfied, continent and sexually active.

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