Comparison between transabdominal-vulvar and transvulvar approaches for peritoneal vaginoplasty in patients with congenital absence of the vagina.

To compare the operative and sexual efficiencies of transabdominal-vulvar and transvulvar techniques for peritoneal vaginoplasty in patients with congenital absence of the vagina, we treated 36 patients by peritoneal vaginoplasty, originally described by Rothman, 31 with the transabdominal-vulvar technique and five with a new transvulvar technique. Both techniques equally gave the patients excellent sexual conditions. The mean blood loss was the mean duration of operation were 278 +/- 268 g and 1 degree 54' +/- 48' in the transabdominal-vulvar technique and 50 +/- 52 g and 58' +/- 11' in the transvulvar technique. The latter was significantly less than the former. Therefore, the transvulvar technique for peritoneal vaginoplasty in patients with congenital absence of the vagina was thought to be better than the transabdominal-vulvar technique.