Vaginal Reconstruction After Radical Hysterectomy and Radiation?

I had a radical hysterectomy, radiation and chemo and now my vagina is very short and narrow. I cannot use estrogen for tissue elasticity, and I don't want a deforming abdominal flap surgery. I've seen some studies about vaginal reconstruction and complete vaginal replacement using stem cells to build the new vaginas, but I can't find a doctor who knows more about this. Is there anyone out there that can point me in the right direction? It saddens me that I can't have intercourse. Please help!

Doctor Answers (2)

Radical Hysterectomy, Radiation, and Chemo

+1

    Given your history, the university setting would provide your greatest opportunity for improvement.   Reconstructing this area can be done by a plastic surgeon well versed in a multitude of techniques.  Even at Harvard, no stem cell therapies were being trialed for this. 


Los Angeles Plastic Surgeon
5.0 out of 5 stars 209 reviews

Vaginal Reconstruction after Radical Hysterecomy and Radiation

+1

I thank you for your question regarding this extremely important and sensitive area.  Classically, the most efficient and least deforming procedure for vaginal reconstruction utilizes a flap of tissue from the upper inner thigh adjacent to the labia majaora and groin crease.  The resulting scar lies "hidden" within the groin crease.  This flap actually retains some sensory nerve supply which is advantageous as well. 

I personally am not aware of anyone reliably and repeatedly being able to reconstruct and/or replace the entire vagina with stem cells.

Glad to help... @drryanstanton

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 19 reviews

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