Effect of dietary insulin on the response of suckling mice enterocytes to Escherichia coli heat-stable enterotoxin |
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Authors: | A al-Majali E Asem C Lamar JP Robinson MJ Freeman M Saeed |
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Affiliation: | J. Bentley Squier Urologic Clinic, Columbia-Presbyterian Medical Center, New York, NY, USA. |
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Abstract: | OBJECTIVE: There are many different approaches to vaginal reconstruction. Methods include simple dilatation, skin grafts techniques, amnion grafts and the use of bowel segments for vaginal replacement. METHOD: We herein discuss the most common surgical techniques and present our series of 15 patients who underwent intestinal vaginoplasty with either sigmoid colon or cecum. RESULTS: The complication rate was low, with two patients requiring revision for prolapse. Ten patients are sexually active with only one describing any degree of dyspareunia. CONCLUSION: When dealing with vaginal aplasia, intestinal vaginoplasty seems to have clear advantages with an excellent surgical success rate and low incidence of complications. |
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