The use of free jejunal autograft for the treatment of vaginal agenesis: surgical methods and long-term results

Two young women with congenital vaginal agenesis were treated with free jejunal autograft. At follow-up of 5 and 2 years there was no significant constriction without long term use of stents and obturators. Mucosal secretion of the grafted tissue was reduced within a few months postoperatively but still remained high necessitating a cotton napkin. Nonetheless, it provided a suitable condition with appropriate lubrication for sexual intercourse. Our experience indicates that the free jejunal autograft may be the ideal operation for selected patients.