The congenital absence of the vagina is an uncommonly encountered malformation, known as Rokitanski-
Kuster-Hauser syndrome. These patients may enjoy an improved quality of sexual life once
a neovagina is constructed. Surgical and nonsurgical (Frank's autodilatation) methods of creating
a neovagina by recurrent dilatations require long and often embarrassing self-catheterization which
is often painful, and yield a vagina with limited length. The developing ability to perform complicated
surgery by laparoscopy has revived interest in colonic and ileal interposition procedures for
formation of a neovagina.
We report a case of sigmoid colpoplasty for neovagina creation in a 15-year-old girl, performed
completely by laparoscopy, with a favorable outcome and an easier recovery.
