Vaginoplasty using amnion graft along with a fourchette flap

Objectives: To evaluate the amnion graft in vaginoplasty, to assess the advantage of a flap placed over fourchette and to evaluate the benefit of gauze mould. Methods: Out of the 35 subjects of primary amenorrhea, eight with complete vaginal agenesis were selected for vaginoplasty. Half of these received split thickness skin graft and other half received amnion graft. An additional triangular flap raised locally was applied at the fourchette area in all. The mould used was made of gauze. Results: Amnion graft was taken completely and presented almost no complication as compared to skin graft with minimized hospital stay. The fourchette flap facilitated easy and painless insertion of the mould. There was no contracture or fibrosis of neovagina and introitus. Gauze mould was easy to prepare and caused no complication. Conclusion: Making a fourchette flap and using amnion graft along with a gauze mould reduced the operating time, hospital stay and allowed easy and painless mould insertion with least complications.