Resurfacing the vulva and vagina

Thirteen patients are described where split thickness skin grafts, cutaneous or myocutaneous flaps were used to cover large defects on the vulva and vagina. For defects over the pubic groin areas, the tensor fascia lata flaps are most suitable. Defects of the vulva are best covered by split thickness skin grafts or gracilis flaps, and vaginal defects by split thickness skin grafts or vulvar flaps.