Document Type : Original Article(s)
Authors
1
General Surgeon and Pediatric Surgeon, Maryam Hospital, Karaj, Iran
2
General Surgeon and Breast Surgery Specialist, Maryam Hospital, Karaj, Iran
3
BSc in Operation Room, Maryam Hospital, Karaj, Iran
4
PhD, Midwifery and Reproductive Health Department, Alborz University of Medical Sciences, Alborz, Iran
10.48305/jims.v42.i755.0050
Abstract
Background: Vaginal agenesis is one of the important abnormality consequences of mullein duct formation defects in the reproductive health system. It's mainly seen in Myer-Rakitaneskia syndrome. The vagina agenesis can be corrected by neo- vagina surgery.
Methods: The seventy- two patients affected with vagina agenesis, who have surgeries by sigmoid vaginoplasty in Maryam hospital in Alborz province, participated in this retrospective study during 2018-2023. Patients were followed between 3 months to 4.5 years after surgery for operation outcomes.
Findings: The minimum age of the patient was 13, and the oldest was 40. Seven of the patients had Mc-Indoe's surgery history. The adverse outcomes of surgery were: bleeding at 5 (6.9%), pain at 3(4.1%), scant vaginal discharge at 3(4.1%), surgery site infection at 2 (2.7%), Vaginal tightness at 2(2.7%), and rectovaginal fistula at 3 (4.1%), respectively. At six and twelve months after the surgery, only two patients had complained of vaginal discharge. After sigmoid vaginoplasty surgery, five patients have successfully married. All patients had sexual function satisfaction.
Conclusion: Considering the usefulness of surgery with sigmoid graft in vaginal agenesis patients, the possibility of creating a suitable channel for sexual activity, few complications, and the possibility of communicating for up to 3 weeks after discharge, vaginoplasty with sigmoid graft is an appropriate method for treating patients without a vagina.
Highlights
Salahedin Delshad: PubMed, Google Scholar
Mahsa Khoshnam-Rad: PubMed, Google Scholar
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