How to carry out postoperative care for congenital absence of vagina

How to provide postoperative care for congenital absence of vagina? Vaginal reconstruction surgery is not a major clinical surgery, but a common surgery in gynecological plastic surgery. It can improve the troubles of women with vaginal deformity and congenital absence of vagina in their married life. If the vaginal deformity and the development of the ovaries and uterus of women with congenital absence of vagina are not adversely affected, fertility can be restored after vaginal reconstruction surgery, but the specific situation varies from person to person. Postoperative care of vaginal reconstruction surgery is also related to the effect of women's vaginal reconstruction surgery to some extent.

Postoperative care considerations for vaginal reconstruction surgery:

a. Keep the catheter for 7-10 days. b. Control bowel movements for 10 days. Eat less liquid food after surgery and give intestinal peristalsis inhibitors. Eight days after surgery, patients can be given honey or other laxatives such as Chinese patent medicine to help them defecate. c. Absolute bed rest. d. If the dressing is contaminated by urine or feces after surgery, it must be changed in time. e. Give systemic antibiotics for 5-7 days.

Experts say that congenital absence of vagina is often associated with uterine hypoplasia or absence of uterus, and is often discovered only because of the lack of menstrual menstruation after puberty or because of the inability to have sex after marriage. In this deformity, the female vulva develops normally, but there is no vaginal opening. The original vaginal opening is closed by skin, or there is only a shallow pit; while the development of labia majora, labia minora, urethral opening, and clitoris is normal. This situation is different from true or false hermaphroditism. Gynecologists at home and abroad believe that women with congenital absence of vagina should undergo plastic surgery about six months or three months before marriage.

There are two main methods used in China at present: one is non-surgical therapy, which mainly refers to compression and expansion plastic surgery. Its advantage is that it does not require surgery. The method is to use a cylindrical organic glass rod about 20 cm long to press inward in the shallow pit of the vaginal opening, 2-3 times a day, 30 minutes each time. At the beginning, only a shallow depression of 1 cm can be pushed out. By pressing every day and gradually changing to a model rod with a thicker diameter, the depression of the vaginal opening will gradually deepen and increase. Generally, after 3-6 months of pressing, an artificial vagina with a width of about 3 cm and a depth of 6-7 cm can be pressed out on the basis of the original shallow pit, which can basically meet the requirements of the couple's life after marriage. Since this method is simple and easy to use, the patient can press it at home by himself, so it is a safe and effective treatment method. Its disadvantage is that the treatment course is long, and the "vagina" pressed out often makes the man feel uncomfortable during the couple's life, and the woman is not easy to feel pleasure.