Vaginal Deformities

Various techniques of vaginal repair used in the reconstruction of cloacal deformities are discussed.  In 4 years we performed primary reconstruction of cloacal anomalies in 4 children, 3 of whom had hydrocolpos and 1 vaginal agenesis.  Vaginal reconstruction was done using a variety of techniques tailored to the primary anomaly.  Distal vaginal occlusion related to ischemia occurred in 2 patients and in both the vagina was successfully reconstructed at a second stage procedure.  Overall cosmetic and functional results were good.  All patients are dry but require clean intermittent catheterization and 3 currently require a bowel regimen at follow-up of 18 months to 4 years.

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