Use of infragluteal folds as a full‐thickness skin graft donor site for construction of the neovagina in cases of Mullerian agenesis

Abstract

It has been our practice to use infragluteal folds as a skin graft donor site for full-thickness skin graft vaginoplasty. We believe that the results of this study demonstrate that this area is versatile and an excellent alternative to the groins and lower abdomen. Further clinical and histomorphological investigations are necessary for strong statements and results.

Considerations for secondary vaginoplasty

“…There is no reported literature on relative risks and benefits of skin graft sites, but scrotal and perineal skin has been used to augment vaginal canal length in primary vaginoplasty cases where penile skin was insufficient. While the groin is a common donor site due to the graft shape it offers, infragluteal folds have also been used successfully in cisgender women with Müllerian agenesis (9). This approach may be less advantageous in patients with posterior thigh hair burden necessitating permanent hair removal prior to surgery.…”