Vaginoplasty Outcomes in Terms of Post-Operative Complications and Patient Satisfaction after Reconstruction with Bilateral Pudendal Thigh Flap

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Author(s): 1,Farhat-ul-Ann Tayyaba 2,Zahid Tayyab 3,Hafsa Noreen 4,Brig Tahir Mosood Ahmad 5,Javeria Mahmood 6, Akasha Amber Awan

Received: 07/02/2022 | Published: 05/08/2022 | Pages: 50-54 | DOI: 10. 3843/GLOWM.10265.

Background: Vaginal agenesis is a rare congenital anomaly. Vaginal reconstruction with adequate length having good sensations and minimal complications is a challenging task. There are multiple methods of reconstruction with their own pros and cons and each have variable learning curve. The aim of our study is to see the patient satisfaction and safety of pudendal thigh flap for vaginal reconstruction in congenital vaginal agenesis in our population. Methodology: This prospective study was conducted at Bahawal Victoria Hospital, Millat Hospital Bahawalpur, and Mayo Hospital, Lahore. Data was collected over a 3-year period from November 2018 to November 2021. All patients of vaginal agenesis who underwent vaginal reconstruction with pudendal thigh flap were included. Outcomes were assessed in terms of vaginal length achieved, patients’ satisfaction with their sexual lives, and post-operative complications. Results: A total of 8 patients underwent vaginal reconstruction with bilateral pudendal thigh flaps during the study period. 87.5% of married females were sexually satisfied. Vaginal length of at least 6 cm was achieved in all patients. Wound infection was observed in two (25%) patients, wound dehiscence in one (12.5%), and folliculitis in two (25%). Conclusion: Pudendal thigh flap is a sensate and reliable flap with excellent patient satisfaction and acceptable post-operative complications.

Vaginal Ageresis, pudendal thigh flap, vaginal reconstruction.