Abstract We describe 14 patients with congenital absence of the vagina associated with a variable abnormality of the uterus and review the literature. J Negat Results Biomed. What's wrong with the way intersex has traditionally been treated? At times cyclic pelvic pain may be present in the post-pubertal period due to an accumulation of haemorrhagic material within uterine buds with a functioning endometrium. Mullerian duct aplasia, renal aplasia, and cervicothoracic somite dysplasia.
Congenital absence of the vagina.
A simple method of constructing a vagina: As a result of the analysis of two affected families, we believe that the disorder may represent the variable manifestation of a single underlying genetic defect that can be expressed alone or in any combination of vertebral, renal, and genital abnormalities. Congenital malformations of genital organs Type 1 Excludes androgen insensitivity syndrome E Primary vaginal elongation by dilation is the appropriate first-line approach in most patients because it is safer, patient controlled, and more cost effective than surgery 24 , Several surgical techniques may be used to create a neovagina. Connect with Boston Children's Hospital. This is an X-linked recessive condition and androgen receptor sequencing can be performed for confirmation.
A plastic operation for congenital absence of vagina - ScienceDirect
The MRI typically can be done without contrast, but this decision can be left to the discretion of the radiologist. Since then different surgical methods have been used for example simple pressure technique 4 , use of intestinal segment 5 , full thickness and split thickness grafts 6 , and creation of vulval space as described by Wffliam 7. Understanding future fertility options allows adolescents and young women to understand their potential for becoming parents, which may help them cope with the diagnosis and its implications. Genital anomalies in childhood. A rectal examination often will identify a bulging of the proximal vagina. Although it is a successful approach, many obstetrician—gynecologists do not receive training in primary vaginal dilation and may not feel equipped to counsel and coach their patients adequately
You can also find us on social media: Nonsurgical techniques are considered the first-line approach. Congenital absence and traumatic obliteration of the vagina and its treatment with inlaying Thiersch grafts. They are not necessary for a differential diagnosis:. The ovaries of females with MRKH syndrome are unaffected and function normally. Complete assessment of cases was carried out, including chromosomal analysis, an intravenous pyelography, when significant malformation were suspected.