腟欠損症(Mayer-Rokitansky-Kuster症候群)にS状結腸を利用した造腟術3例

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  • A Case Report with Vaginoplasty Utilizing Segment of the Sigmoid in 3 Females with Congenital Absence of the Vagina

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Congenital absence of the vagina represented by Mayer-Rokitansky-Kuster syndrome (M-R-K syndrome) is fortunately a rare malformation. Bryan and his colleagues found the condition occurring once in 4000 female births. For these half decades 3 females with R-K-H syndrome have been refered to our clinic to undergo vaginoplasty prior to marriage. These 3 young females received vaginoplasty utilizing the segment of the sigmoid as a vagina, which was first described by Shirodkar and modified by Hata. This method carries a certain risk of postoperative complications compared with McIndoe procedure applying in inverted skin graft. However, the improved anesthetic procedure and post operative management have recently enabled us to practise Hata's procedure safely. Besides this method has the advantage that the mucous secretion of the sigmoid serves as lubrication to the vagina, which facilitates a satisfied sexual life. At the present time Hata's procedure should be one of options for vaginoplasty.

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