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Management of the vaginal aplasia: a report of 9 cases

A. Ranke, JL. Lemelle, M. Schmitt

Department of Pediatric Surgery, Children Hospital, Vandoeuvre-lès-Nancy, France

 

ABSTRACT

Objectives: To show the results of our management in vaginal aplasia.

Materials and Methods: Retrospective review of 9 patients who ended their treatment and have been followed-up by in pediatric gynecology in Nancy.

Results: The treatment was started between the ages of 16 and 23, in accordance with the patient’s wish. Five young girls have chosen home dilatations, with regular ambulatory consultation; they obtained a fine caliber vaginal cavity, three of them have satisfactory sexual activity. In four patients a colon colpoplasty have been performed, obtaining a good cavity: three have satisfactory sexual relations. Secretions don’t discomfort them, but two girls had episodes of vaginitis with bleeding during sexual relations and in one a polyp was ablated from the neovagina; indicating that the follow-up of these patients is important and is a challenge.

Conclusion: In all cases it is preferred to create a neovagina by dilatations of the vaginal cupule no matter its initial dimensions; these dilatations can be performed at home by the patient and accompanied by regular ambulatory consultations. In case of failure or refusal, the sigmoid colpoplasty is a good alternative but must be accompanied by a long-term follow-up.

 

Key words: vaginal aplasia, sigmoid colpoplasty, dilatations