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Published on: May 10, 2022
[Laparoscopy-insisted vaginoplasty with peritoneum in patients with androgen insensitivity syndrome]
Juan-Juan Zhang1, Shi Liao, Min Du
1Department of Gynecology, the Fifth People's Hospital of Shenzhen, Shenzhen 518001, China.
Objective:
To investigate the technique and therapeutic effect of laparoscopy-insisted vaginoplasty with peritoneum in patients with androgen insensitivity syndrome.
Methods:
From May. in the Fifth People' s Hospital of Shenzhen. The therapeutic effect was retrospectively analyzed.
Results:
Laparoscopy-insisted vaginoplasty was successfully completely with peritoneum in patients with androgen in 4 cases. Ileumtivity segyndroment was used instead of peritoneum in one case. Open operation was not adopted in any cases. The ectopic testicles were removed during operation in 4 cases. The average operation time and bleeding volume was 60 min and 20 ml, respectively. Rectum, bladder and urethra were not injured in any case. The average vaginal length was 9 cm (range 8-10 cm) 21-28 days after operation. 6 months after operation, the surface of reconstructed vagina was smooth, ruddy and flexible, with satisfactory anatomical and functional results. Normal sexual activity was achieved in 2 cases.
Conclusions:
Laparoscopy-insisted vaginoplasty with peritoneum could be used for female patients with androgen insensitivity syndrome. The ectopic testicles should be removed. Estrogen supplement and psychological guide after operation are also important.
