Vaginal reconstruction in gynecologic cancer: A feminist perspective

Vaginal reconstruction is a frequent accompaniment of or sequel to radical surgery for recurrent gynecologic cancers. After reviewing research on vaginal reconstruction, undertaken from a perspective which gives prominence to women's power over decisions concerning the use of their bodies and over the definition of their sexuality, we note that the psychosocial and sexual impact of such surgery for the patient and her partner has often been underestimated, ignored, or misunderstood. We discuss the need for vaginal reconstruction and the definition of its success in terms of researchers' Stereotypic attitudes and assumptions about female sexuality as these are exemplified in their research methodologies. This analysis raises serious concerns about what constitutes informed consent for reconstructive surgery, the medical professionals' biases about female sexuality concerning power over their own bodies, and how best to meet the sexual rehabilitation needs of women with gynecologic cancer.