Successful Pregnancies after Vaginal Reconstruction Following Acquired Gynatresia With Pudendal Thigh (Singapore) Flaps

Abstract

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<jats:p>Acquired gynatresia resulting from traumatic vaginal delivery is rare. The use of bilateral pudendal flaps for reconstruction provides sensate tissue for a functional neovagina. Reconstruction of the vagina after complete stenosis from birth trauma has not widely been reported. We present a 29-year-old woman who developed vaginal stenosis within 2 months after vaginal delivery of a stillbirth baby. There was a failure of coitus for approximately 5 months before presentation. She had successful vaginal reconstruction with pudendal flaps and became pregnant twice through coitus after surgery. Her baby was delivered via Caesarean section. We have reported a case where the vagina was successfully reconstructed with bilateral pudendal thigh flaps which resulted in subsequent spontaneous (unassisted) pregnancies.</jats:p>
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