It is well known that oncologic surgery in the pelvis is associated with sexual dysfunction in both men and women. Erectile impairment in males after RC is more extensively described in the literature than female sexual dysfunction [41–43]. The functional length of the vagina is probably less important, although an intraoperative length of >12 cm measured during surgery has been proposed [44]. Retubularisation of the vagina should be done in a longitudinal fashion when possible, although that can cause dyspareunia if it results in lumen narrowing; hence, closing the vagina transversely might be more appropriate, as suggested by some authors