What is the most effective treatment for congenital absence of vagina?

What is the most effective treatment for congenital absence of vagina?

People are not particularly familiar with the symptom of congenital absence of vagina. It should be known that the appearance of this symptom brings great harm and pain to female friends. So what should we do about congenital absence of vagina? Let us learn about its related content together:

The principle of treatment for congenital absence of vagina is to reconstruct the vagina. There are various methods of artificial vaginal formation.

1. Non-surgical treatment is to use the method of top pressure to gradually push the closed vestibular mucosa in the normal vaginal position toward the head end along the vaginal axis 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 been basically abandoned and rarely used.

Second, 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 the past, the most common method was to transplant 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 transplanted skin graft from contracting, which increases the patient's pain and brings great inconvenience to work and life. Moreover, the characteristics of skin and mucosal tissues are too different, and they do not meet physiological requirements, which is their biggest disadvantage. Vaginoplasty using labia flaps destroys the normal vulva morphology 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, and the choice should be mainly based on the patient's local vulvar anatomy 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 pros and cons need to be promoted before a conclusion can be drawn.

The above contents are some introductions to what to do about congenital absence of vagina. We hope that the introduction of these contents can provide some useful help to friends in need, and remind friends that if this symptom occurs, they must go to a regular hospital for examination and treatment in time.

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