For women with congenital lack of the vagina, typically associated with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, Cutis Hospital provides specialized surgical options. The underdevelopment or absence of the uterus and vagina as a result of this disorder has a profound effect on the life of the individual who is affected.

What is the congenital absence of the vagina?

MRKH syndrome leads to challenges in the normal development of the female reproductive tract. Women with this condition typically have an underdeveloped or completely absent uterus and vagina, which can be distressing both emotionally and physically.

 Surgical Treatment for Congenital Absence of Vagina

Our skilled surgeons use cutting-edge methods to create a vagina that is both visually pleasing and functional. The goals of these operations are to enhance quality of life and facilitate sexual function. Among the surgical techniques we employ are:

  • McIndoe technique
  • Williams vaginoplasty
  • Rotational flap procedures
  • Intestinal neovagina
  • Vecchietti technique
  • Wharton-Sheares-George method

Procedure and Recovery

The specific steps of the surgery vary depending on the chosen technique. Post-operation, patients typically use a soft dilator to help mold the new vaginal canal. Depending on how quickly the person heals, this may be required for a few weeks or months.

Why Cutis Hospital for Congenital Absence of Vagina Treatment?

A group of exceptionally talented surgeons and caring nurses work at Cutis Hospital, which is furnished with cutting-edge surgical equipment and amenities.

Our goal is for every patient to receive the best functional and cosmetic result possible in a clean, safe environment with as little chance of infection as possible. In addition to offering surgical quality and emotional support during the recovery period, our approach is customized to match the specific needs of each woman we treat. Choose Cutis Hospital if you want all-encompassing care that improves your wellness and respects your needs.

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    FAQ's

    MRKH (Mayer-Rokitansky-Küster-Hauser) syndrome is a congenital condition. It affects a female’s reproductive system. The uterus and vagina of a woman suffering from MRKH may be absent or underdeveloped.

    The aetiologia of MRKH is still unknown. It has been impossible to identify one particular gene, chemical or hormone that may be responsible for this condition through medical research. This congenital deformity is considered to be of sporadic nature and is not diagnosed before pubertal age.

    The first symptom of MRKH is usually noticed when a female reaches pubertal age (14-16 years). A woman suffering from MRKH will not be menstruating like the other women of similar age.

    A 2D or 3D ultrasound is performed in order to diagnose this physical condition. A doctor may even perform an MRI. It provides a more detailed picture of the internal organs in comparison to the ultrasound.

    Yes, there is a non-surgical treatment available for MRKH. A patient needs to use a hard-plastic dilator twice a day for 15-20 minutes.

    The success of this process depends upon various factors and cannot be measured until a few months have passed. The success rate depends upon the knowledge and skills of a clinician who teaches a patient how to use a dilator alongside depending upon a patient’s skills and tenacity.

    At Cutis, our surgeons prefer the surgical methods over the non-surgical option for the treatment of congenital absence of vagina, as it ensures better functional outcome.

     

    Various surgical techniques are used for the treatment of MRKH. Positive outcome can be achieved through all methods of surgery. It is essential to use a dilator for a few weeks or months after each procedure.

    • McIndoe Procedure

    A vagina is created in two different methods.

    • Using a skin graft that is collected from the buttocks 
    • Using a specially developed material that mimics the looks and feel of the human skin. A vaginal mould is also used in this scenario.
    • Bowel vagina

    The vagina is developed using a section of a patient’s own bowel.

    • Williams vaginoplasty

    A vulvar flap is used in order to artificially create a vaginal tube.

    • Davydov procedure

    Vagina is created using a patient’s own peritoneal lining.

    • Wharton-Sheares-George method

    Dilators are pushed through the Müllerian ducts towards the pelvic axis in order to dilate it incrementally.

    Median raphe is intersected

    Vaginal mould is inserted into the newly developed cavity

    Two sutures are used in order to hold the mould in correct position

    No autologous or allogeneic transplant is necessary

    • Rotational flap procedures

    Fasciocutaneous flaps (pudendal thigh, gracilis myocutaneous, labia minora) are used to create a vagina

    The complications associated with the surgical repair depend upon the technique of surgery. However, a patient may notice the following complications after a surgical procedure.

    • Excessive scarring at the donor graft site
    • Dyspareunia (painful sexual intercourse)
    • Excessive vaginal discharge
    • Inadequate vaginal lubrication
    • Postoperative urethrovaginal or rectovaginal fistulas
    • Vaginal stenosis
    • Poor compliance of patients with regards to maintaining the schedule of postoperative dilation

    Women suffering from MRKH can have functioning ovaries alongside having a functional vagina. These ovaries can produce viable ova; however, assisted reproduction will be necessary in this scenario.

    The surgical procedure is usually completed within 1-2 hours unless there are additional complications. A patient may be discharged on the day of surgery or may need to stay overnight at the hospital.

    • Vaginal packing is usually removed 36–48 hours after the surgery.
    • Estrogen cream needs to be applied using fingers or a dilator twice daily.
    • Dilator application is necessary for a few weeks/months to ensure that the vagina is maintaining its width and length. A surgeon will instruct a patient regarding the duration and length of dilator application.
    • Scant bleeding or pink vaginal discharge may be noticed for the first couple of weeks.
    • Avoid any sexual activity for at least 6-8 weeks.
    • Follow-up examination 6 weeks after surgery unless there are complications.

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