Vaginal reconstruction may be required for complex congenital vaginal defects, disorders of sexual development, and congenital vaginal agenesis, as well as in secondary repair of post-surgical vaginal stricture or stenosis [1]. The aims of vaginoplasty include constructing a low maintenance vaginal replacement with minimal morbidity, acceptable cosmesis, and excellent long-term function [2,3]. Multiple surgical techniques have been developed, including the Vecchietti technique, Davydov procedure, bowel vaginoplasty, and the McIndoe vaginoplasty, though no one approach has emerged as the preferred procedure [4].

Bowel management programs are efficacious in pediatric patients with fecal incontinence or intractable constipation unresponsive to standard treatment. No studies have been done examining outcomes in adults. The objective of this study was to assess continence and quality of life outcomes in adults who have underwent bowel management program.