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Introital stenosis and z-plasty.

Although stenosis of the vaginal introitus is a relatively uncommon complication of simple or radical vulvectomy, when it does occur it can be most distressing and disabling to the patient. Numerous types of repair have been described with varying indications. In this report, the literature is reviewed and indications for the specific procedures are discussed. The case history of a patient suffering with introital stenosis after simple vulvectomy is presented, and the little known but very practical vulvar Z-plasty procedure is illustrated and described.