The use of free jejunal autograft for the treatment of vaginal agenesis: surgical methods and long-term results.

Two young women with congenital vaginal agenesis were treated with free jejunal autograft. At follow-up of 5 and 2 years there was no significant constriction without long term use of stents and obturators. Mucosal secretion of the grafted tissue was reduced within a few months postoperatively but still remained high necessitating a cotton napkin. Nonetheless, it provided a suitable condition with appropriate lubrication for sexual intercourse. Our experience indicates that the free jejunal autograft may be the ideal operation for selected patients. Copyright 2000 The British Association of Plastic Surgeons.