Cytologic findings after construction of a neovagina using two surgical procedures.

Construction of a neovagina using the Grossman and mesh-graft techniques was done upon 20 patients with congenital absence of the vagina. Evaluation of cytologic specimens taken one to 13 years after the operation showed a remarkable resemblance to those from normal epithelium. In 18 of 20 patients, keratinization only pointed to the origin of the graft. No nuclear atypia or history of cytologic dysplasia was found. Thus, regular gynecologic and cytologic examinations, according to the principles applied to healthy women, are sufficient in patients who have undergone construction of a neovagina.