HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Hatch, K. D. Search for Related Content PubMed PubMed Citation Articles by Hatch, K. D.

CONSTRUCTION OF A NEOVAGINA AFTER EXENTERATION USING THE VULVOBULBOCAVERNOSUS MYOCUTANEOUS GRAFT

From the Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The University of Alabama in Birmingham, Birmingham, Alabama.

Construction of a neovagina after exenterative surgery is important for the psychologic adjustment of the patient undergoing exenteration. The bulbocavernosus muscle, fat, and overlying vulvar skin have been used as a pedicle graft to create a neovagina in eight patients undergoing supralevator pelvic exenteration in the past 22 months. The vaginal length and caliber has proved to be excellent with return of normal sexual function among four women who currently have a sexual partner. This graft is easier to construct with less operative time and blood loss than the gracilis myocutaneous graft. The cosmetic results are excellent and there have been no complications.