Autologous buccal mucosa graft augmentation for foreshortened vagina

Gwen M. Grimsby, Karen Bradshaw, Linda A. Baker

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

BACKGROUND: Vaginal foreshortening after pelvic surgery or radiotherapy may lead to dyspareunia and decreased quality of life. Unfortunately, little literature exists regarding treatment options for this debilitating problem. Autologous buccal mucosal grafting has been previously reported for creation of a total neovagina and the repair of postvaginoplasty vaginal stenosis. TECHNIQUE: Autologous buccal mucosa offers several advantages as a replacement material for vaginal reconstruction. Vaginal and oral buccal mucosa are both hairless, moist, nonkeratinized stratified squamous epithelia. Buccal mucosa has a dense layer of elastic fibers, imparting both elasticity and strength, and acquires a robust neovascularity with excellent graft take. The graft material is readily available and donor site scars are hidden in the mouth. EXPERIENCE: A 60-year-old woman had vaginal foreshortening to 4.5 cm 15 years after radical hysterectomy and brachytherapy for endometrial cancer. She was unable to have intercourse despite attempted vaginal dilation. Her foreshortened vagina was successfully augmented with autologous buccal mucosa grafting at the apex, increasing her vaginal length to 8 cm and permitting pain-free intercourse. CONCLUSION: Even in the face of an altered surgical field after radical hysterectomy and radiation, autologous buccal mucosa is an option for vaginal reconstruction for vaginal foreshortening.

Original languageEnglish (US)
Pages (from-to)947-950
Number of pages4
JournalObstetrics and Gynecology
Volume123
Issue number5
DOIs
StatePublished - 2014

Fingerprint

Mouth Mucosa
Vagina
Transplants
Hysterectomy
Dyspareunia
Elastic Tissue
Cheek
Brachytherapy
Elasticity
Endometrial Neoplasms
Cicatrix
Mouth
Dilatation
Pathologic Constriction
Radiotherapy
Epithelium
Quality of Life
Tissue Donors
Radiation

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Medicine(all)

Cite this

Autologous buccal mucosa graft augmentation for foreshortened vagina. / Grimsby, Gwen M.; Bradshaw, Karen; Baker, Linda A.

In: Obstetrics and Gynecology, Vol. 123, No. 5, 2014, p. 947-950.

Research output: Contribution to journalArticle

Grimsby, Gwen M. ; Bradshaw, Karen ; Baker, Linda A. / Autologous buccal mucosa graft augmentation for foreshortened vagina. In: Obstetrics and Gynecology. 2014 ; Vol. 123, No. 5. pp. 947-950.
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