Abstract

GOMEZ-TABARES, Gustavo  and  NIETO-CALVACHE, Albaro José. A description of a simplified neovagina technique: A report of 4 cases from Cali, Colombia. Rev Colomb Obstet Ginecol [online]. 2010, vol.61, n.2, pp.169-175. ISSN 0034-7434.

Introduction: vaginal agenesis represents a rare malformation, mostly associated with Mayer-Rokitansky-Kuster-Hauser syndrome and androgen insensitivity syndrome or testicular feminisation syndrome. Treatment focuses on restoring sexual function and most surgical techniques are characterised by their complexity and require special instruments. This paper was aimed at presenting a simplified neovagina technique. Methodology: four cases of patients suffering vaginal agenesis are reported; they underwent a modification of the McIndoe technique by using absorbent antimicrobial barrier dressings which simplifies the procedure and reduces implementation costs. They were followed-up for 8-18 months and suitable results were obtained. Results: three patients suffering from MRKH syndrome were treated; the fourth one had testicular feminisation syndrome (XY karyotype). A rupture of the distal colon or rectum was seen at the start of surgery in one case; such complication was identified and corrected, presenting suitable evolution. Hospital stay varied from 2-3 days. No medium or long-term complications were presented. Sexual relationships were documented as having begun around 40 days later. Conclusion: the surgical technique described here represents an option for restoring sexual function in women suffering from this condition.

Keywords : Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome; surgical technique; neovagina.

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