Surgical treatment of congenital absence of vagina

Many women panic when they are diagnosed with congenital absence of vagina, not knowing what to do. Experts explain that congenital absence of vagina is a big blow to patients, and the best treatment for this disease is surgery. So how to perform surgery for congenital absence of vagina? There are two main clinical methods: skin transplantation and autologous colon replacement of vagina, which are introduced in detail below.

Experts say that the commonly used plastic surgery methods for treating congenital absence of vagina are as follows:

1. Autologous colon instead of vagina

Operation method: This is a successful vaginal reconstruction surgery. The method is relatively complicated and is often completed in collaboration with general surgeons. The general surgeon opens the abdomen and takes a section of colon with a vascular pedicle, about 10 cm long. The upper end is sutured closed, and the lower end is pulled out from the separated artificial vaginal opening and sutured in a circular manner with the external opening. Since the colon section itself has blood supply and an inner and outer wall, the inner wall mucosa can secrete mucus after survival.

Advantages and Disadvantages: This method does not cause discomfort to the man during sexual intercourse, and does not require a vaginal mold, so it is an ideal vaginal reconstruction procedure. The only disadvantage is that the reconstructed vagina will produce some odor due to colon secretions, and the surgical technique requirements are also high.

2. Skin transplantation

Operation method: The doctor makes a 3cm incision in the shallow vaginal fossa between the rectum and the anus, and then separates a fissure 4-5cm wide and about 8cm long and performs skin transplantation or flap transfer in the fissure as the lining of the reconstructed vagina.

Advantages and Disadvantages: The advantages of this operation are that the reconstructed vaginal cavity has sufficient depth and width, and the treatment course is relatively short. However, lubricant needs to be used 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 dilate the reconstructed vagina every day within six months to prevent vaginal contraction and adhesion. According to an infertility expert on Youwenbidai.com, since the vagina reconstructed by flap transfer will not contract, it generally does not need to be dilated.

Through the description in this article, we know that there are two surgical treatments for congenital absence of vagina. As for which method to choose, it is recommended that patients listen to the doctor's advice. Since this operation requires high technical skills of the doctor, it is recommended that patients go to a regular hospital to find a doctor with rich clinical experience for treatment.