Congenital absence of the vagina—the mayer-rokitansky-kuster-hauser syndrome

Autor: C.A. Gregori, P.A. Bergh, Breen Jl
Rok vydání: 1989
Předmět:
Zdroj: Adolescent and Pediatric Gynecology. 2:73-85
ISSN: 0932-8610
DOI: 10.1016/s0932-8610(89)80046-5
Popis: Mayer-Rokitansky-Kuster- Hauser syndrome continues to intrigue both basic scientists and clinicians. Although great advances have been made in human embryology, many controversies remain. Likewise, speculation on the pathophysiology of this disorder abounds but the etiology continues to be a mystery. Fortunately, the diagnosis is usually not difficult and requires little if any interventional procedures. The evolution of the treatment of vaginal agenesis sheds some light on the ingenuity and perseverance of the physicians who helped develop the variety of treatment modalities that are available today. The procedure chosen should weigh the individual needs of each patient with the physician's expertise. Only those with considerable experience should attempt to surgically reconstruct a vagina as there is very little margin for error. Regardless of the method chosen, the most important variable for success is the patient's cooperation and mental status. Fortunately, most series report excellent results. The majority of these patients have satisfactory sexual relations and function as well-adjusted women.
Databáze: OpenAIRE