Diagnosis and treatment of congenital absence of vagina

Congenital absence of vagina quietly breaks into the patients' lives, not only quietly eroding the health of patients with congenital absence of vagina, but many people in life are not clear about congenital absence of vagina, and some even say that they don't know about this disease. So what is the diagnosis basis of congenital absence of vagina? How to treat it?

Diagnosis

Most patients with congenital angular vagina only have completely closed vaginal vestibule mucosa at the normal vaginal opening, without vaginal traces. Some patients also have shallow depressions in the vaginal vestibule, and some have blind vaginas shorter than 3 cm. It is often accompanied by no deformity, and only slightly thickened strip-like tissue can be seen in the normal uterus, located in the middle of the broad ligament.

About 1/10 of patients may have partial uterine development and functional endometrium. After puberty, due to menstrual blood retention, they experience periodic abdominal pain, amenorrhea, or the disease is discovered only after marriage when they seek medical attention due to sexual intercourse difficulties.

treat

The timing and method of treatment are determined based on the patient's uterine development.

1. Timing of treatment: After detailed examination, if the patient has a nearly normal uterus and normal ovarian function, surgery should be performed after menarche to facilitate menstrual blood drainage and sexual intercourse, and there is hope for intrauterine pregnancy after treatment. If there is no uterus or rudimentary uterus and no possibility of reproduction, it is best to perform artificial vaginoplasty before or after marriage to mainly solve the problem of sexual life.

2. Methods

(1) Vaginoplasty: There are many types of vaginoplasty, such as labia minora flap vaginoplasty, inner thigh flap vaginoplasty, sigmoid colon vaginoplasty, peritoneal vaginoplasty, etc. For specific methods, please refer to gynecological surgery.

If pregnancy occurs after surgery, intensive monitoring is required, and a cesarean section should be chosen if the due date is close.

(2) Top-pressure method: For patients with no fertility and partial blind-bag vagina, local top-pressure method can be tried according to the patient's wishes. A round and blunt mold like the bottom of a test tube can be used for long-term self-pressure. Sexual intercourse can also be gradually deepened. If the patient is not satisfied, it also creates better conditions for surgery.

Expert Tip: The above is an analysis of the diagnostic basis for congenital absence of vagina. Experts point out that in order to make an accurate diagnosis, it is necessary to grasp the diagnostic basis for congenital absence of vagina. Only in this way can an accurate diagnosis be made and active treatment can be achieved.