The technique of intestinal or sigmoid vaginoplasty, or colovaginoplasty, is usually performed in cases where the penile inversion procedure is not feasible. This is usually the case when the penis with stretched skin measures less than 12 centimeters, when there is a circumcision or when it has already been operated upon previously, but insufficient vaginal depth has been attained.
The surgeon, together with his or her medical team, will decide on the most appropriate technique for each patient based on their physical characteristics and medical history.