Plastic neo-vaginal construction in Mayer-Rokitansky-Küster-Hauser syndrome: an expert opinion paper on the decision-making treatment process

Autor: Torres-de la Roche, Luz Angela, Devassy, Rajesh, Gopalakrishnan, Sreelatha, de Wilde, Maya Sophie, Herrmann, Anja, Larbig, Angelika, De Wilde, Rudy Leon
Jazyk: German<br />English
Rok vydání: 2016
Předmět:
Zdroj: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW, Vol 5, p Doc08 (2016)
Druh dokumentu: article
ISSN: 2193-8091
DOI: 10.3205/iprs000087
Popis: Vaginal agenesis is a congenital anomaly that affects the life of one of each four thousand women around the world. There is a trend that patients request immediate surgical correction, instead of passive vaginal dilatation. Therefore a differentiated counselling should be provided. We present a comparative chart, based on published evidence, with aspect to the available techniques, which will facilitate the decision-making process in the clinical practice. From our point of view, the best results are achieved with techniques that combine the advantages of the minimal-invasive surgery with those derived of the use of peritoneum as covering tissue of the neovagina. Nevertheless there is a lack on interdisciplinary consensus about the best option to restore the physical and sexual quality of life.
Databáze: Directory of Open Access Journals