How to effectively treat congenital absence of vagina

Some women have some abnormalities during embryonic development, especially those with congenital vaginal amenorrhea. Many women hope to have a lovely baby and get pregnant. If they don't have a vagina, can they give birth? How to treat congenital vaginal amenorrhea infertility? Congenital vaginal amenorrhea seriously endangers people's lives. Most patients have congenital corner vagina. There is only a completely closed vaginal vestibule mucosa at the normal vaginal opening, and no vaginal traces. Some patients also have shallow depressions in the vaginal vestibule, and some have blind vaginas shorter than 3cm.

How to treat congenital absence of vagina?

Vaginoplasty with labia flaps destroys the normal vulva shape and is often rejected by patients. Reconstruction with sigmoid colon or ileum segments increases the complexity of the operation. Covering with amniotic membrane or pelvic peritoneum also has its own disadvantages. Therefore, although there are many methods, there is still no very ideal shaping surgery. The choice should be mainly based on the local anatomy of the patient's vulva and other specific clinical conditions. In recent years, with the progress of microsurgery, vascularized myocutaneous flaps have been used to cover the cavity, opening up a new way for this operation. Its advantages and disadvantages need to be promoted before a conclusion can be drawn.

The principle of treatment for congenital absence of vagina is to reconstruct the vagina. There are various methods for artificial vaginal formation, including non-surgical treatment, which is to gradually push the closed vestibule mucosa in the normal vaginal position along the vaginal axis to the head side 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 is now 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.

For women with congenital absence of vagina, it is not that there are no ways to treat it. Especially for pregnant women, there are some methods to give birth. Therefore, it is best for such women to have regular gynecological examinations for early detection, early diagnosis, and early treatment. If abnormalities are found but cannot be confirmed, regular follow-up is required.