Sigmoid vaginoplasty is a surgical procedure that creates a neovagina in individuals born with congenital absence of the vagina (also known as vaginal agenesis) or those who have experienced injury or trauma resulting in vaginal tissue loss. The procedure involves using a segment of the sigmoid colon to create a neovagina. The sigmoid colon is a section of the large intestine located near the rectum. The procedure is typically performed by a gynecologist or urologist with experience in genital reconstruction.

The procedure is usually done under general anesthesia and can take several hours to complete. The surgeon will make an incision in the abdomen and remove a segment of the sigmoid colon. This segment will be shaped and placed into the area where the vagina should be. The colon segment will be sutured in place and the incision in the abdomen will be closed.

After the surgery, patients will typically stay in the hospital for several days to recover. They will need to avoid strenuous activity and sexual intercourse for several weeks to allow the neovagina to heal properly. They may also need to take antibiotics to prevent infection and may need to use dilators to help keep the neovagina open.

It is important to note that sigmoid vaginoplasty may not be suitable for all individuals, and alternative options such as a skin graft or a vaginal pull-through procedure may be recommended depending on the individual case. It is also important to have a discussion with the surgeon about the potential risks and benefits of the procedure, as well as the long-term outcomes.

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