Introduction
For women with congenital vaginal agenesis and sexual needs, creating a
functioning neovagina is a practical therapeutic schedule, and different
methods have been reported in the literature. Nowadays, non-operative
vaginal dilation is the preferred treatment proposed by the American
Society of Obstetrics and Gynecology[1]. Besides,
tissues such as peritoneum and intestinal segments were frequently used
for colpoplasty, especially the sigmoid colon. In the early 1980s,
colpopoiesis using the sigmoid intestine was first reported by
Goligher[2]. The advantages of this tissue include
efficient blood supply and self-lubrication, and regular vaginal
dilation is not required. In a meta-analysis, Horbach reported that the
overall rate was about 6.4% [3]. However,
although the rate is lower than other treatment, it is also associated
with various postoperative complications, including postoperative ileus,
ulcerative colitis and adenocarcinoma of
neovagina[4]. Though the incidence of NP is
relatively low (3-8%), it does bring great inconvenience to patients,
and expose tough challenge to the gynecologists, for there is no
accordant and standard repair solution presented up to
now[5]. Hereon, we report a case of NP 10 years
after sigmoid colon vaginoplasty that was successfully repaired by
laparoscopic sacro-colpopexy with a mesh, hoping to provide meaningful
evidence for this rare situation.