Journal of Isfahan Medical School

Journal of Isfahan Medical School

Examining the Results of Vaginoplasty Surgery Using Sigmoid Graft in the Treatment of Vaginal Agenesis, A Retrospective Cohort Study

Document Type : Original Article(s)

Authors
Salahedin Delshad 1
Balal Delshad 2
Soghra Taheri 3
Kajal Yadegari 3
Mahsa Khoshnam rad 4
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

Keywords
Vaginoplasty
Vagina agenesis
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome
Sigmoid vaginoplasty
Subjects
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Journal of Isfahan Medical School
Volume 42, Issue 755
3rd Week, April
March and April 2024
Pages 50-57

  • Receive Date 07 January 2024
  • Revise Date 23 April 2024
  • Accept Date 15 May 2024