Colovaginoplasty

Vaginoplasty
ICD-9-CM	70.64, 70.62, 70.64, 70.94, 70.6, 70.95
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Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Sometimes a vaginoplasty is needed following the treatment or removal of malignant growths or abscesses in order to restore a normal vaginal structure and function. Vaginoplasty is also used to correct congenital defects to the vagina, urethra and rectum. Vaginoplasty can correct uterine and vaginal prolapse. It will correct protrusion of the urinary bladder into the vagina and protrusion of the rectum into the vagina. Often, a vaginoplasty is performed to repair the vagina and its attached structures due to trauma.

Congenital disorders such as adrenal hyperplasia can affect the structure and function of the vagina and sometimes the vagina is absent; these can be reconstructed or formed, using a vaginoplasty. Other candidates for the surgery include babies born with a microphallus, people with Müllerian agenesis resulting in vaginal hypoplasia, and women who have had a vaginectomy after malignancy or trauma. Vaginoplasty can reduce the size of the entrance of the vagina or alter the appearance of the vulva.

Vaginoplasty is the description of the following surgical interventions:

In some instances, extra tissue is needed to reconstruct or construct the vagina. These grafts used in vaginoplasty can be an allogenic, a heterograph, an autograft, xenograft, or a autologous material.

Vaginoplasties may be performed in children or adolescents with intersex conditions or disorders of sex development. Conditions such as congenital adrenal hyperplasia virilize genetic females due to a 21-hydroxylase deficiency. Specific procedures include: clitoral reduction, labiaplasty, normalizing appearance, vagina creation. initiating vaginal dilation.

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