Document Detail


Sigmoid vaginoplasty: long-term results.
MedLine Citation:
PMID:  16765181     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate the long-term results of sigmoid vaginoplasty for Mayer-Rokitansky-Kuster-Hauser syndrome. The social and psychological acceptance of the procedure is also discussed in terms of a developing country scenario. METHODS: A total of 14 patients with Mayer-Rokitansky-Kuster-Hauser syndrome were treated at our institute from January 1995 to December 2004. Sigmoid vaginoplasty was performed in all patients. The procedure was performed using a combined abdominoperineal approach. Dissection was done between the urethra and rectum to create a bed for the neovaginal colon conduit. A 10-cm segment of sigmoid colon was raised on its vascular pedicle, delivered through the abdominoperineal tunnel, and fixed to the vaginal pit incision. The patient records were reviewed for surgical technique and postoperative complications. Patients underwent a personal interview to assess the postoperative results, social acceptance of the procedure, and sexual satisfaction. RESULTS: The mean patient age at surgery was 16.8 years. The patients who underwent sigmoid vaginoplasty had good cosmetic results without the need for routine dilation or the problem of excessive mucus production. The postoperative morbidity was minimal. During a mean follow-up of 4.1 years, no stenosis or colitis was encountered. The subjective satisfaction rate with the surgical outcomes in all the patients was 8.01 on a scale of 0 to 10 (0, very disappointed to 10, satisfied). CONCLUSIONS: Sigmoid vaginoplasty is an effective treatment for patients with vaginal atresia. Timed vaginal reconstruction in these patients allows for a better quality of life and social acceptance. It also enables the patient to lead a near-normal sexual life, with high satisfaction rates.
Authors:
Rakesh Kapoor; Devender Kumar Sharma; Kamal Jeet Singh; Amit Suri; Pratipal Singh; Himanshu Chaudhary; Deepak Dubey; Anil Mandhani
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urology     Volume:  67     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-12     Completed Date:  2006-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1212-5     Citation Subset:  IM    
Affiliation:
Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. rkapoor@sgpgi.ac.in
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / surgery*
Adolescent
Adult
Colon, Sigmoid / transplantation*
Female
Follow-Up Studies
Gynecologic Surgical Procedures / methods
Humans
India
Mullerian Ducts / abnormalities*,  surgery*
Patient Satisfaction
Syndrome
Time Factors
Treatment Outcome
Vagina / abnormalities*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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