Treatment of congenital absence of vagina

Treatment of congenital absence of vagina

We all don't know much about congenital absence of vagina, because the incidence of this disease is not very high, but if our children are troubled by this disease, the harm is immeasurable. At present, the clinical treatment of congenital absence of vagina is still mainly surgery. Let's take a look at the detailed explanation below.

What are the treatments for congenital absence of vagina?

The principle of treatment for congenital absence of vagina is to reconstruct the vagina. There are various methods of artificial vaginal formation, including non-surgical treatment, which is to gradually push the closed vestibular 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 has now been basically abandoned and rarely used.

Surgical treatment mainly involves separating the urethra, bladder and rectum to form an artificial cavity, using different methods to find an appropriate cavity wound covering and reconstructing the vagina.

In previous years, the most commonly used method was the transplantation of the patient's own medium-thickness free skin graft. However, after the operation, 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 transplanted skin graft from contracting, which increases the patient's pain and brings great inconvenience to work and life.

Moreover, the biggest disadvantage is that the characteristics of skin and mucous membrane tissues are too different and do not meet physiological requirements.

Vaginoplasty using labia skin flaps destroys the normal vulva shape and is often rejected by patients. Reconstruction using 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 mainly be based on the patient's vulvar local anatomy and other specific clinical conditions.

The above is an introduction to the treatment methods for congenital absence of vagina. These methods are all effective. When we find that our children are suffering from this disease, we must take the children to see a doctor in time. It is recommended to consult an expert in a regular hospital.

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