1982 Volume 21 Issue 4 Pages 709-713
Operative vaginoplasty using the rectum was carried out on five patients, between the ages of 18 and 21, with congenital abscence of the vagina. The long term results, 2-5 years, were analysed for cytological, histological, and physiological changes.
Two weeks after the operation the neovaginas were found to bleed easily and smears showed the presence of a large number of erythrocytes, leucocytes and mucoussecreting goblet cells. Up to 4 months after the operation, inflammatory cells and cell-fragements were occationally observed.
Throughout the observation period columnar epithelial cells were present in each smear, though mucoussecreting goblet cells gradually decreased.
The histology of the neovagina 5 years after the operation was similar to that of the original rectum. No squamous metaplasia was detected either cytologically or histologically.
Clinical observation indicated no vaginal atrophy nor stricture and patients were satisfied with their sex life, indicating favolable prognosis.
