Congenital atresia of uterus and a part of vagina is to the Mayer-Rokitansky-Kuster-Hauser (MRKHS) syndrome. It is a rare anomaly, found in 0.02% of the born girls. However, nearly 20% of all cases of the primary amenorrhea are due specifically to this pathology. To be able to conduct a sexual life, the patients undergo a surgical treatment, which consists in formation of neovagina.
The indications for surgery are based on the general clinical and pelvic examination. In some cases, when the length of the existing vagina is large enough, the good results can be achieved by conservative treatment with channel stretching. In other cases, the plastic surgery is indicated to form an artificial vagina.
Surgery requires a stay in the clinic with a full board for up to 14 days due to the need of preparation and rehabilitation. Artificial vagina construction is performed under general anesthesia by laparoscopic access. The patient's own tissues are used as a material for plastic surgery. Usually, this is a part of the sigmoid colon on the preserved mesentery. The intestinal integrity is provided by anastomosis.
Thus formed artificial vagina ensures a sufficient moisture for sexual activity. To prevent sclerosis and other pathological changes in the vagina, a symptomatic therapy is conducted, and the patient is given detailed recommendations for further outpatient treatment and lifestyle.