Daily care for patients with congenital absence of vagina

Congenital absence of vagina can be divided into complete and partial. Complete absence of vagina is often combined with congenital absence of uterus, which means that the patient only has a completely closed vaginal vestibule mucosa at the normal vaginal opening without any trace of vagina. What are the daily care that patients with congenital absence of vagina should pay attention to?

1. Psychological care

Nurses should communicate more with patients and their families, let them know relevant knowledge, and enhance their confidence in overcoming the disease. Married women who seek treatment due to sexual difficulties may make patients and their families feel desperate because of their infertility. Therefore, nurses should let family members (especially husbands) understand the occurrence and development of the disease, actively face reality, and understand patients.

2. Special preparation before surgery

Choose a vaginal model of appropriate size according to the patient's age, and prepare two or more vaginal models and T-belts for the patient, disinfect them and keep them ready for use. For patients undergoing free flap vaginoplasty, prepare the skin of the middle leg on one side, shave and disinfect the skin, and wrap it with a sterile treatment towel for use during the operation.

3. Teach patients how to replace vaginal models

When the vaginal model is replaced for the first time, the wound has not healed completely and the patient will feel obvious pain. She often needs to take painkillers within half an hour of the replacement. The nurse should accompany the patient at the bedside, hold the patient's hand, and assist the doctor in placing the vaginal model and fixing it with a T-belt. The vaginal model should be of appropriate size and lubricant should be applied to the model to relieve pain.

4. Discharge Guidance

Patients are encouraged to continue using the vaginal model after discharge, and to disinfect and replace it every day. Adolescent women should use the vaginal model until they get married and have sexual intercourse. Those who want to get married should go to the hospital for examination after surgery, and they can have sexual intercourse only after the penis wound is completely healed.

There are still many daily cares that patients with congenital absence of vagina need to pay attention to, so you must pay more attention in your daily life!