Vaginal delivery following vaginal inlay grafting

We report the case of a 30-year-old woman with acquired vaginal stenosis secondary to relapsing vaginitis, who became pregnant after partial split-thickness skin graft vaginoplasty. She had a normal pregnancy except for two episodes of vaginitis caused byH. influenzae, which is an uncommon infection during pregnancy, and a normal vaginal delivery. To our knowledge there is only one additional report of vaginal delivery following this kind of surgery. Nevertheless, these isolated cases probably do not demonstrate the suitability of a totally reconstructed vagina by split skin serving as a potentially expansile conduit for normal delivery.