OBJECTIVETo introduce and evaluate the technical feasibility and anatomical and functional outcomes of one-stage vaginoplasty with autologous buccal micromucosa combined with acellular allogenic dermis.

METHODSWe retrospectively reviewed our experiences with 17 patients with Mayer- Rokitansky-Kuster-Hauser syndrome treated with primary surgery from September 2010 to April 2013. All patients underwent vaginoplasty with autologous buccal micromucosa combined with acellular allogenic dermis. We describe the details of this technique, observe the time of epithelization and evaluate the long- term anatomical, functional, and sexual outcomes.

RESULTSThe time of epithelization was 13 d (range: 12-15 d). At a mean follow-up of 15 months (range: 12-24 months), the mean postoperative dependence on the vaginal stent was 11.7 ± 1.64 months (range: 9-15 months), the mean depth of the neovagina was (9.0 ± 0.94) cm (range: 7-11 cm), the mean circumference was (12.3 ± 1.36) cm (range: 10.0-14.5 cm) and the mean volume was (105 ± 10) ml (range 85-120 ml). The mean female sexual function index score of the 12 sexually active patients was 29.5 ± 2.6. No spouse reported discomfort during intercourse.

CONCLUSIONSVaginoplasty with autologous buccal micromucosa combined with acellular allogenic dermis is an effective and feasible approach for patients with Mayer-Rokitansky-Kuster-Hauser syndrome. The procedure has satisfactory long-term anatomical and functional results. The use of the acellular allogenic dermis is limited by the high price and the potential infection.

46, XX Disorders of Sex Development ; surgery ; Acellular Dermis ; Coitus ; Congenital Abnormalities ; surgery ; Feasibility Studies ; Female ; Humans ; Mouth Mucosa ; transplantation ; Mullerian Ducts ; abnormalities ; surgery ; Postoperative Period ; Reconstructive Surgical Procedures ; methods ; Retrospective Studies ; Vagina ; abnormalities ; surgery

Objective To investigate the blood supply of the expanded skin flap from medial up-per arm and its application in the reparation of cervical scar contracture due to sear resection. Methods The operation was carried out for three steps: (1) The expander was implanted under the superficial fascia. (2) The skin flap from medial upper arm was created with superior ulnar collateral artery as blood supply and attributive branches of basilica and axillary veins as blood collection. (3) After thes car contracture was released, the defect was covered with medial upper arm flap with maximal area of 25 cm×15 cm. Results Ten patients in all with cervical scar contracture were treated with the skin flap. All the skin flaps survived at last with nearly normal skin color, texture and contour. And the scar in donor sites seemed to be neglectable. Conclusions Reparation of cervical scar contracture with medial upper arm skin flap after expanding could be recommended. But 3 months long time and fixation of upper limb and head might be disadvantages.

With the development of society, women' s attention to their external genitals is gradually increasing, genitalia plastic surgery has also achieved a dramatic of development. The labia majora, as one of the most obvious structures of female external genitalia, occupies an important part of external genital aesthetics. After reviewing the literature, we found that there are few reports on plastic surgery of labia majora, so we make a review on this aspect to discusse the anatomy of the labia majora, the treatments of atrophy and hypertrophy of labia majora, and the complications of these therapies.

With the development of society, women’s attention to their external genitals is gradually increasing, genitalia plastic surgery has also achieved a dramatic of development.The labia majora, as one of the most obvious structures of female external genitalia, occupies an important part of external genital aesthetics. After reviewing the literature, we found that there are few reports on plastic surgery of labia majora, so we make a review on this aspect to discusse the anatomy of the labia majora, the treatments of atrophy and hypertrophy of labia majora, and the complications of these therapies.

With the development of society, women' s attention to their external genitals is gradually increasing, genitalia plastic surgery has also achieved a dramatic of development. The labia majora, as one of the most obvious structures of female external genitalia, occupies an important part of external genital aesthetics. After reviewing the literature, we found that there are few reports on plastic surgery of labia majora, so we make a review on this aspect to discusse the anatomy of the labia majora, the treatments of atrophy and hypertrophy of labia majora, and the complications of these therapies.

With the development of society, women’s attention to their external genitals is gradually increasing, genitalia plastic surgery has also achieved a dramatic of development.The labia majora, as one of the most obvious structures of female external genitalia, occupies an important part of external genital aesthetics. After reviewing the literature, we found that there are few reports on plastic surgery of labia majora, so we make a review on this aspect to discusse the anatomy of the labia majora, the treatments of atrophy and hypertrophy of labia majora, and the complications of these therapies.

Objective To introduce the long-term outcomes of one-stage vaginoplasty with autologous buccal micromucosa .Methods We retrospectively reviewed our experiences with 133 patients who were treated with primary vaginoplasty from June 2006 to January 2017(97 Mayer-Rokitansky-Kuster-Hauser syndrome,36 sexual disorder disease ).All patients, in which the mean age was 25 years old ( range:16—32 year-old ) , underwent vaginoplasty with autologous buccal micromucosa .We describe the details of this technique and we also evaluate the long-term outcomes in anatomy, function, and sexuality. Results The mean operative time was 115 minutes (range:95—150 minutes).During a mean follow-up of 15 months (range:12—24 months), the mean period of postoperatively using vaginal stent was 11.7 ± 2.37months ( range: 9—15 months), the mean depth of the neovagina 9.0 ±0.68 cm ( range: 8—11 cm) , the mean circumference 11.5 ±1.28 cm ( range:10.0—14.5 cm) and the mean volume 103 ± 10 ml ( range:90—125 ml) .The mean female sexual function index score of the 72 sexually active patients was 28.9 ±2.5.No spouse reported discomfort during intercourse.Conclusions Vaginoplasty with autologous buccal micromucosa is an effective and feasible approach .

Objective To introduce the long-term outcomes of one-stage vaginoplasty with autologous buccal micromucosa .Methods We retrospectively reviewed our experiences with 133 patients who were treated with primary vaginoplasty from June 2006 to January 2017(97 Mayer-Rokitansky-Kuster-Hauser syndrome,36 sexual disorder disease ).All patients, in which the mean age was 25 years old ( range:16—32 year-old ) , underwent vaginoplasty with autologous buccal micromucosa .We describe the details of this technique and we also evaluate the long-term outcomes in anatomy, function, and sexuality. Results The mean operative time was 115 minutes (range:95—150 minutes).During a mean follow-up of 15 months (range:12—24 months), the mean period of postoperatively using vaginal stent was 11.7 ± 2.37months ( range: 9—15 months), the mean depth of the neovagina 9.0 ±0.68 cm ( range: 8—11 cm) , the mean circumference 11.5 ±1.28 cm ( range:10.0—14.5 cm) and the mean volume 103 ± 10 ml ( range:90—125 ml) .The mean female sexual function index score of the 72 sexually active patients was 28.9 ±2.5.No spouse reported discomfort during intercourse.Conclusions Vaginoplasty with autologous buccal micromucosa is an effective and feasible approach .