Abstract
Background: Sigmoid vaginoplasty is one option for neovaginal surgery in congenital genitourinary conditions resulting in vaginal agenesis. Introital stenosis is one complication managed with progressive dilation to allow successful vaginal penetration. Vaginismus, the involuntary contraction of pelvic floor muscles, may occur secondary to adverse experiences, including surgery. Our goal is to describe a novel approach to treatment of vaginismus in an adolescent with introital stenosis following sigmoid vaginoplasty.
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