The best treatment for congenital absence of vagina

Congenital absence of vagina is caused by the stagnation of the development of the tail end of the paramesonephric duct during embryonic development and its failure to extend downward. Therefore, it is often accompanied by incomplete or undeveloped uterus, but the ovaries generally develop normally. The timing and method of treatment are determined based on the patient's uterine development. Congenital absence of vagina can be treated. The vagina is reconstructed through surgery. If a female friend has not had menstruation after the age of 18, it is considered to be this disease, and it must be taken seriously and go to the hospital for diagnosis and treatment in time.

Treatment principles for congenital absence of vagina

It is to reconstruct the vagina. The timing and method of treatment are determined according to the development of the patient's uterus. After detailed examination, if the patient has a nearly normal uterus and normal ovarian function, the surgery should be performed after the menarche to facilitate menstrual blood drainage and sexual intercourse. After treatment, there is hope for intrauterine pregnancy. If there is no uterus or primordial uterus and other women who are not likely to have children, it is best to perform artificial vaginoplasty before or after marriage to mainly solve the problem of sexual life.

1. Vaginal reconstruction

There are many methods for artificial vaginal shaping, including non-surgical treatment, which is to gradually push the closed vestibule 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 been basically abandoned and rarely used.

2. Surgical treatment

It mainly separates the urethra, bladder and rectum to form an artificial cavity, and uses different methods to find an appropriate cavity wound covering material to reconstruct the vagina. In previous years, the most common method used was the patient's own medium-thickness free skin graft, but 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 the worker and life.

Moreover, the difference between skin and mucosal tissue characteristics is too great, and it does not meet physiological requirements, which is its biggest disadvantage. Using vulvar skin flaps for vaginal reconstruction destroys the normal vulvar shape and is often rejected by patients. Using sigmoid colon or ileum segments for reconstruction increases the complexity of the operation.

Using amniotic membrane or pelvic peritoneum to cover also has its own disadvantages. Therefore, although there are many methods, there is still no very ideal shaping surgery, and the choice should mainly be made based on the patient's vulva local anatomy and other clinical specific conditions.

Warm reminder: Congenital absence of vagina is accompanied by periodic pain of primary amenorrhea, and sexual intercourse cannot be performed after marriage. The treatment of congenital absence of vagina requires choosing the right time. It is best to select a date before or after marriage to perform artificial vaginal reconstruction surgery to solve the problem of sexual life. It should be noted that choosing a regular hospital is also very beneficial to your recovery from the disease.