The construction and reconstruction of the vagina with the colocecum.

Absence of the vagina is a distressing problem. In this study, we present the results for 13 patients treated by vaginal replacement using an isolated colocecal segment. There were no important surgical complications, and none of the patients had stenosis of the neovagina. At the time of this report, seven patients had regular and satisfactory intercourse, and none of the remaining patients thought that they were incapable. It is concluded that the colocecal segment provides an acceptable substitute for the vagina and that this procedure is appropriate for the more complex instances of congential and acquired vaginal atresia.