Using Local Grafts for Perineal Reconstruction

Document Type : Original Article


1 Assistant Professor of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Ph.D Student of Anatomy, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction:Different surgical methods are presented for revision of external genitalia in transsex, intersex and vaginal agenesis but it is controversial yet. These surgical techniques used various grafts such as bowel, skin, amnion and vulva. The aim of this study was to tender our experience in vaginal reconstruction using genital local grafts.
Methods: This is a prospective clinical trial study of 10 patients who were referred to an urologist for genitoplasty in Imam Reza Hospital of Mashhad in 1387-1388. The period of follow up was 3 to 24 months. Patients were investigated for complications of vaginal stenosis, urine incontinence, injury to other organs such as rectum, wound infection and sexual satisfaction. Also, sexual satisfaction of patients and cosmetic effect of operation were evaluated using 20 items questionnaire and a 5-point of the Likert-scale.The data were analyzed by Tsquare and SPSS software (11 version).
Results: Mean age of patients was 22±5.92 who underwent genitoplasty. The mean period of follow up was 10±6.35 months. Of total of 10 patients complications were seen in 2 cases (20%). Post operative complications were bleeding (10%) and urinary infection (10%). There was no vaginal stenosis, injury to other organs such as rectum and wound infection. The sexual satisfaction increased significantly according to paired sample t-test (p=000).
Conclusion: It seems using genital local graft for genitoplasty has acceptable and low complication results in patients with genital ambiguity.