What should girls do if they are born without vagina?

Nursing of patients with congenital absence of vagina is very important. There are many people who are prone to this disease. There are many symptoms of congenital absence of vagina. Patients with congenital absence of vagina should understand that the consequences of congenital absence of vagina are very serious. The principle of treatment of congenital absence of vagina is to reconstruct the vagina:

There are many methods for artificial vaginoplasty, including non-surgical treatment, which uses top pressure to gradually push the closed vestibule mucosa in the normal vaginal position toward the head end along the vaginal axis to form an artificial cavity.

This method requires a long treatment time, and the artificial vagina formed is short. If the tissue elasticity is poor, it is difficult to succeed. It has now been basically abandoned and rarely used.

Surgical treatment mainly involves separating the urethra, bladder and rectum to form an artificial cavity, and using different methods to find an appropriate cavity wound covering material to reconstruct the vagina. In previous years, the most common method used was the patient's own medium-thickness free skin graft, but after surgery, a hard vaginal mold needs to be used for a long time to expand the artificial vagina to prevent the artificial cavity covered by the grafted skin from contracting, which increases the patient's pain and brings great inconvenience to work and life. Moreover, the differences in the characteristics of skin and mucosal tissues are too great, and they do not meet physiological requirements, which is their biggest disadvantage.

Vaginoplasty using labia skin flaps destroys the normal vulva morphology and is often rejected by patients.

Reconstruction with the sigmoid colon or ileum increases the complexity of the operation. Covering with the amniotic membrane or pelvic peritoneum also has its own disadvantages. Therefore, although there are many methods, there is still no ideal shaping surgery. The choice should be mainly based on the patient's vulvar local anatomy and other specific clinical conditions.

With the progress of microsurgery in recent years, vascularized muscle flaps have been used to cover cavities, opening up a new approach for this surgery. Its advantages and disadvantages need to be promoted before a conclusion can be drawn.

Hymen atresia: congenital absence of uterus and vagina due to the inability of the vaginal bud to penetrate the urogenital sinus during embryonic development. Reproductive tract retention caused by puberty. Primary pseudo-amenorrhea, cyclical abdominal pain after puberty, and inability to have sex after marriage. Examination of women with congenital absence of uterus and vagina shows that the hymen has no holes and is locally full and swollen; the feeling of the cystic mass before the rectum, B-ultrasound, CT and other imaging examinations can all show images of vaginal and uterine fluid accumulation. Puncture of the thinnest part of the hymen can draw out brown blood.

Secondary vaginal stenosis: Women are born without a uterus and vaginal stenosis due to poor development, such as vaginal septum and septum. Secondary vaginal stenosis and adhesions: Inflammation causes stenosis or adhesions, while vaginitis or trauma, foreign body infection, untreated or improper treatment during infancy, and the formation of adhesions, scar contracture and stenosis in the later period can also cause congenital absence of uterus and vagina in women.

Clinical manifestations of female congenital absence of uterus and vagina: primary amenorrhea, periodic lower abdominal pain, inability to have sex after marriage, etc. Female phenotype, normal vulva, shallow hymen without vagina, absence of uterus or early uterine malformation may be related to urinary system or bone malformation. Ovarian function is normal.