Vaginal reconstruction with the modified rectosigmoid colon: surgical technique, long-term results and sexual outcomes

dc.authoridKemal Dolay / 0000-0001-9776-8945
dc.authorscopusidKemal Dolay / 6602983383
dc.authorwosidKemal Dolay / M-2032-2016
dc.contributor.authorÖzkan, Ömer
dc.contributor.authorÖzkan, Özlenen
dc.contributor.authorCinpolat, Anı
dc.contributor.authorDoğan, Nasuh Utku
dc.contributor.authorBektaş, Gamze
dc.contributor.authorDolay, Kemal
dc.contributor.authorGürkan, Alihan
dc.contributor.authorArıcı, Cumhur
dc.contributor.authorDoğan, Selen
dc.date.accessioned2020-08-30T20:07:51Z
dc.date.available2020-08-30T20:07:51Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAlthough vaginal reconstructions with intestinal segments require particularly complex surgical procedures, this technique has become popular with respect to fairly good functional and esthetic outcomes. This study describes cases of vaginal reconstruction performed using a modified rectosigmoid colon held in an ischemic state in order to reduce secretion and denervated in order to prevent defecation problems. Vaginal reconstructions with rectosigmoid colon were performed on 43 patients. In this retrospective study, 34 patients had Mullerian agenesis, while nine had undergone male to female sex reassignment surgery in which adequate vaginal depth had not been achieved. A rectosigmoid colon with its vascular pedicle was used and left in an ischemic state. All nerve structures within the pedicle were excised intraoperatively. Follow-up period was between 12 and 60 months. Partial necrosis occurred in one patient which was reconstructed with local flap. Hematoma developed beneath the skin incision in two cases, but resolved with conservative treatment. A good esthetic outcome was achieved in all cases. Sexual function was assessed using the Female Sexual Function Index (FSFI) in 15 patients. Fourteen out of 15 patients scored above 26.5 on this scale and were determined as having no sexual dysfunction (FSFI score 26.5). In conclusion, vaginal reconstruction with denervated rectosigmoid held in an ischemic state appears to be a reasonable option among several available reconstruction techniques.en_US
dc.description.sponsorshipAkdeniz UniversityAkdeniz Universityen_US
dc.description.sponsorshipThe authors would like to thank Harun Simsek, Polat Bicici, Seckin Aydin Savas and Kerim Unal for their scientific contributions and also Akdeniz University for their support for this paper.en_US
dc.identifier.citationOzkan, O., Ozkan, O., Cinpolat, A., Dogan, N. U., Bektas, G., Dolay, K., … Dogan, S. (2018). Vaginal reconstruction with the modified rectosigmoid colon: surgical technique, long-term results and sexual outcomes. JOURNAL OF PLASTIC SURGERY AND HAND SURGERY, 52(4), 210–216. https://doi.org/10.1080/2000656X.2018.1444616en_US
dc.identifier.doi10.1080/2000656X.2018.1444616en_US
dc.identifier.endpage216en_US
dc.identifier.issn2000-656Xen_US
dc.identifier.issn2000-6764en_US
dc.identifier.issue4en_US
dc.identifier.pmid29519186en_US
dc.identifier.scopus2-s2.0-85043323190en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage210en_US
dc.identifier.urihttps://doi.org/10.1080/2000656X.2018.1444616
dc.identifier.urihttps://hdl.handle.net/20.500.12713/843
dc.identifier.volume52en_US
dc.identifier.wosWOS:000439894200003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorDolay, Kemalen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal of Plastic Surgery and Hand Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRectosigmoid Colonen_US
dc.subjectVaginal Agenesisen_US
dc.subjectVaginal Reconstructionen_US
dc.subjectVaginoplasty And Bowelen_US
dc.titleVaginal reconstruction with the modified rectosigmoid colon: surgical technique, long-term results and sexual outcomesen_US
dc.typeArticleen_US

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