Pudendal thigh flap for congenital absence of vagina.

OBJECTIVE To increase the armamentarium of plastic surgeons with description of one of the relatively newer flap for the reconstruction of congenital absence of vagina. METHODS All patients of congenital absence of vagina selected for surgery were explained every detail about the procedure. Five out of ten opted for this procedure. In all patients bilateral pudendal thigh flap based on posterior labial artery, a branch of internal pudendal artery, were raised on either side of labia. They were sutured in midline and inserted into the neo-vagina created by dissection in between rectum and urinary bladder. RESULTS This flap was used in five patients with minor postoperative problems and with good anatomical and functional results. CONCLUSION Pudendal thigh flap is a useful technique to reconstruct the vagina.