What tests are needed for congenital absence of vagina

Congenital absence of vagina brings great pain to patients. The most important thing for patients with congenital absence of vagina is active treatment. Once the disease occurs, it will cause great harm to the patient's health. There are many precautions for patients with congenital absence of vagina in treatment. Patients with congenital absence of vagina should not ignore it in life. Examination and treatment methods for congenital absence of vagina.

Methods of examination for congenital absence of vagina

In a normal uterus, only slightly thickened strips of tissue are seen, located in the middle of the broad ligament. About 1/10 of patients may have a partial uterine body development and functional endometrium. After puberty, due to menstrual blood retention, periodic abdominal pain occurs, and there is no menstruation or it is not discovered until after marriage when seeking medical examination due to sexual intercourse difficulties.

Treatment of congenital absence of vagina

Reconstruction of the vagina. There are many methods for artificial vaginal shaping, including non-surgical treatment, which is to use the method of top pressure to gradually push the closed vestibule 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 is now basically abandoned and rarely used.

The 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 cover to reconstruct the vagina. In previous years, 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 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. 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.

Experts kindly remind you: Due to different individual constitutions, the symptoms and severity of the disease may vary. Please follow the guidance of your attending physician for the best treatment.