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Vaginoplasty

Academic Department of Obstetrics and Gynaecology, University College London, 86-96 Chenies Mews, London WC1E 6UA, UK.

Sarah M Creighton, MD FRCOG, Consultant Obstetrician and Gynaecologist

Elizabeth Garrett Anderson and Obstetric Hospital, University College London Hospitals, Huntley Street, London WC1 6DH, UK. email: sarah.creighton{at}uclh.org (corresponding author)

Surgery to create a vagina has been performed for several hundred years and many techniques are currently in use including the nonsurgical method of dilatation. New laparoscopic techniques may soon replace the more traditional surgery, however none has been fully evaluated in terms of anatomical, sexual or psychological outcomes or risk of complications. This review describes the conditions where vaginoplasty is indicated and the current techniques used for vaginal enlargement including vaginal dilatation. Brief summaries of the literature on outcomes and discussion of the current controversies over vaginoplasty indications and timing are included.

Keywords Keywords / intersex / vaginal agenesis / vaginal dilatation / vaginal hypoplasia / vaginoplasty