Diagnosis and treatment of patients with congenital absence of vagina

What is the diagnosis and treatment of patients with congenital absence of vagina? This is a question that everyone is concerned about. Only by understanding the diagnosis and symptoms of congenital absence of vagina can we help everyone correctly understand this disease and then help everyone actively treat it. So what are the diagnostic basis and treatment methods of congenital absence of vagina? Let's take a detailed look at it.

1. Prepubertal period is often neglected. If carefully examined, there may or may not be a hymen, a shallow depression at the opening of the hymen, or a short and shallow lower vagina.

2. With or without uterine dysplasia. If the uterus develops abnormally, it will manifest as primary amenorrhea after puberty, with a small or deformed uterus. If the uterus develops normally, primary amenorrhea will occur with periodic abdominal pain, intrauterine blood accumulation, and enlarged uterus.

3. Sexual dysfunction.

4. Those with ovarian hypoplasia have incomplete development of secondary sexual characteristics, short stature, webbed neck, cubitus valgus and other deformities.

Treatment of congenital absence of vagina:

Skin grafting - the doctor makes a 3cm incision in the shallow vaginal pit between the rectum and the anus. The advantage of this operation is that the reconstructed vaginal cavity has sufficient depth and width, and then a 4-5cm wide and 8cm long fissure is separated and skin grafts or flap transfers are performed in the fissure as the lining of the reconstructed vagina. The treatment course is also short, but lubricant is required during each sexual intercourse, otherwise the man will feel uncomfortable. In addition, patients who undergo free skin grafting still need to use plexiglass rods to expand the reconstructed vagina every day within six months to prevent vaginal contraction and adhesion.

Autologous colon replacement vaginal surgery - This is also a vaginal reconstruction surgery with successful experience. The method is relatively complicated, because the vagina reconstructed by flap transfer will not shrink. It is often completed in collaboration with general surgeons. The general surgeon opens the abdomen and takes a section of colon with vascular pedicles, about 10 cm long, sutures the upper end, and pulls the lower end out from the separated artificial vaginal opening and sutures it with the outer opening in a circle. Since the colon segment itself has blood supply and inner and outer walls, the inner wall mucosa can secrete mucus after survival. The man will not feel uncomfortable during sexual intercourse, and there is no need to wear a vaginal mold. Therefore, it is a more ideal vaginal reconstruction surgery. The only disadvantage is that the reconstructed vagina will produce some odor due to the secretions of the colon.

The above is an analysis of the diagnostic basis and symptoms of congenital absence of vagina. After understanding the diagnosis and symptoms of congenital absence of vagina, we must actively go to a regular hospital to treat this disease to maximize everyone's safety and health.