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Sigmoid vaginoplasty: long-term results.
Rakesh Kapoor1, Devender Kumar Sharma, Kamal Jeet Singh
1Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. rkapoor@sgpgi.ac.in
Urology
|June 13, 2006
Summary
Sigmoid vaginoplasty offers effective long-term results for Mayer-Rokitansky-Kuster-Hauser syndrome, improving quality of life and sexual satisfaction. This surgical reconstruction leads to high patient acceptance and a near-normal sexual life.
Area of Science:
- Reconstructive surgery
- Gynecology
- Urology
Background:
- Mayer-Rokitansky-Kuster-Hauser syndrome is a congenital condition characterized by vaginal atresia.
- Vaginal reconstruction is crucial for improving quality of life and enabling sexual function.
Purpose of the Study:
- To evaluate the long-term outcomes of sigmoid vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser syndrome.
- To assess the social and psychological acceptance of the procedure, particularly in a developing country context.
Main Methods:
- A cohort of 14 patients with Mayer-Rokitansky-Kuster-Hauser syndrome underwent sigmoid vaginoplasty using a combined abdominoperineal approach.
- A 10-cm segment of sigmoid colon was utilized for neovaginal reconstruction.
- Patient records were reviewed, and personal interviews were conducted to assess surgical outcomes, complications, social acceptance, and sexual satisfaction.
Main Results:
- The mean age at surgery was 16.8 years, with a mean follow-up of 4.1 years.
- Patients experienced good cosmetic results, minimal postoperative morbidity, and no stenosis or colitis.
- Subjective satisfaction with surgical outcomes averaged 8.01 out of 10.
Conclusions:
- Sigmoid vaginoplasty is an effective treatment for vaginal atresia, significantly enhancing patients' quality of life.
- The procedure facilitates social acceptance and enables a near-normal sexual life with high satisfaction rates.