How should congenital absence of vagina be treated? Surgical treatment of congenital absence of vagina 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 of treating congenital absence of vagina was the patient's own medium-thickness free skin graft, but after surgery, a hard vagina mold needs to be used for a long time to expand the artificial vagina to prevent the artificial cavity covered by the grafted skin from contracting, which increases the patient's pain and brings great inconvenience to work 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. 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 surgical treatment for congenital absence of vagina. The current treatment methods for congenital absence of vagina using amniotic membrane or pelvic peritoneum for covering also have their 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 vulvar local 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 the treatment of congenital absence of vagina. The above is an introduction to the treatment of congenital absence of vagina. In many cases, doctors will also take appropriate treatment methods according to the patient's specific situation to create the best surgical effect for the patient. However, you must choose a regular hospital for this operation to better ensure the safety and effect of the operation. |
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