Objective: To investigate the feasibility of vagina reconstruction using a free flap.
Methods: The dorsal pedal flap and the posterior leg flap have been used for vagina reconstruction in 25 cases.
Results: All of the operations were successful. Postoperative follow-up of the patients for 6 months to 6 years showed that the reconstructed vagina was satisfactory anatomically and physiologically. The vagina wall was not only pliable but also elastic. The married patients enjoyed their sexual life. Two of them have given birth to babies.
Conclusions: Vagina reconstruction with a free flap as a new method can be performed successfully. The patients are happy with the operative results, as there is no scar left around the pudendum.