Congenital absence of a vagina is a relatively common congenital anomaly, occurring at a rate of about 25:100,000, and is usually accompanied by a fundic uterus or uterine hypoplasia, with the majority of patients having no menstrual flow. Most patients do not have menstruation. A few may have menstruation, and some may experience cyclic abdominal pain during puberty, which can be diagnosed and treated at an early stage if the cause is detected in time. However, for patients with uterine hypoplasia who do not have menstruation, they may not have any suspicion until they are 17 or 18 years old, and if they are in remote rural areas, they may not have noticed the problem until they get married, which is what is known as a “stone girl”. Patients with congenital absence of vagina usually have normal ovarian development and function, so the development of secondary sexual characteristics is also normal. They can have good looks and a curvaceous figure, and will not have any problems in general social activities. But once they enter into married life, they will have serious problems – unable to have sex, which may also lead to couple’s relationship disorder or even marriage breakup. In fact, this situation is not impossible to solve, one of the classic plastic surgery surgery vaginal reconstructive surgery, can be reconstructed an artificial vagina, to help patients to open the road of “sexual happiness”. Talking about vaginal rejuvenation How is vaginal rejuvenation done? What do I need to prepare before and what do I need to pay attention to afterwards? The vagina is a tubular muscular organ surrounded by smooth muscle and lined with mucous membrane. Vaginal rejuvenation is a surgical procedure that simulates the creation of a similar structure. There are various types of vaginal rejuvenation, the core elements of which are the reconstruction of the cavity and the lining. Vaginal rejuvenation surgery, although there are many different types of vaginal rejuvenation surgery, is similar, that is, in the vagina should be located in the position, that is, between the urethra and the rectum to create a normal vaginal depth and width of the cavity to be similar to. The cavity is then lined to make an artificial vagina. 2, lining reconstruction The diversity of vaginal reconstruction mainly lies in the reconstruction of the lining, the use of the lining, from the past to the present application of a variety of common amniotic membrane, own skin, skin flaps, mucous membranes, peritoneum, intestinal tubes, as well as allogeneic decellularized dermis and so on. Each of the following procedures has its own advantages and disadvantages, and there is no particularly dominant procedure at present. According to the experience of our department, laparoscopic-assisted sigmoid colon vaginal rejuvenation is the closest to normal vaginal function with less scarring and more convenient life after surgery. Laparoscopic-assisted sigmoid colon flap reconstructive vagina 1, preoperative Before the operation, you need to do abdominal CTA (i.e., ct angiography) examination to understand the situation of mesenteric blood vessels; before the operation, you should fast for one day, and do the intestinal preparation, clean and wash the bowel. 2, intraoperative (1) usually under general anesthesia surgery; (2) vaginoplasty, between the urethra and rectum to make a cavity, directly to the pelvic peritoneum; (3) the reconstruction of the lining, laparoscopic assisted, pelvic intercepted sigmoid colon in line with the conditions of the closed intercepted sigmoid colon segment at one end, will be introduced into the open end of the pelvic floor through the opening of the pelvic floor peritoneum within the vaginoplasty cavity, the open end of the colonic mucosa and the incision of the vulva with the mucosa of the mucosa; () (4) Do intestinal anastomosis at both ends of the intercepted intestinal segment in the pelvic cavity to restore the integrity of the intestinal tract; (5) Place pelvic drainage and close the wounds, and the operation is finished. (1) Fasting is required for three days after the operation to supplement nutrition with fluids; observe the situation of abdominal drainage. (2) About one week after the operation, the abdominal drainage can be removed after defecation, and at the same time, the gauze inserted in the vagina can be withdrawn, and then you can be discharged from the hospital. (3) After discharge from the hospital, vaginal molds need to be placed for about half an hour every day, and you can usually have intercourse three months after surgery. Some complications may occur in vaginal rejuvenation, such as infection, bleeding, non-healing wounds and other problems that may occur in any surgery; in addition, some unique accidents may also occur, such as damage to the urethra or rectum resulting in vaginourethral fistula or vaginorectal fistula; implantation of the skin or skin flap method will leave a scar, and there may be necrosis of the grafts or partially necrotic; the colon in place of vagina may be intestinal fistula, abdominal infections, and postoperative intestinal obstruction The colon-in-vagina approach may result in intestinal fistula, abdominal infection, and postoperative bowel obstruction. Although the chance of occurrence is very small, but once occurred will bring great inconvenience and pain to the patient. Therefore, it is important to choose a regular professional medical institution to seek professional help.