Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 42 755 2024 03 20 Examining the Results of Vaginoplasty Surgery Using Sigmoid Graft in the Treatment of Vaginal Agenesis, A Retrospective Cohort Study Examining the Results of Vaginoplasty Surgery Using Sigmoid Graft in the Treatment of Vaginal Agenesis, A Retrospective Cohort Study 50 57 31180 10.48305/jims.v42.i755.0050 FA Salahedin Delshad General Surgeon and Pediatric Surgeon, Maryam Hospital, Karaj, Iran 0000-0001-5353-0556 Balal Delshad General Surgeon and Breast Surgery Specialist, Maryam Hospital, Karaj, Iran 0000-0002-8284-3022 Soghra Taheri BSc in Operation Room, Maryam Hospital, Karaj, Iran Kajal Yadegari BSc in Operation Room, Maryam Hospital, Karaj, Iran Mahsa Khoshnam Rad PhD, Midwifery and Reproductive Health Department, Alborz University of Medical Sciences, Alborz, Iran 0000-0001-5353-0556 Journal Article 2024 01 07 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. 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.

https://jims.mui.ac.ir/article_31180_869984f8baf167efc8123bf85fc1ccb4.pdf