İptisam İpek MÜDERRİS, Abdullah BOZTOSUN

Sigmoid vajinoplasti: Olgu sunumu

Mayer-Rokitansky-Küster-Hauser (MRKH) sendromu, uterovajinal ageneziye bağlı primer amenorenin nadir bir konjenital nedenidir. Yeniden vajen oluşturulmasında kulanılan çeşitli cerrahi teknikler vardır. Sigmoid greft uygulaması, yeterli uzunluğun sağlanabilmesi, doğal lubrikasyon ve erken cinsel fonksiyon kazanımı açısından en iyi yöntem olarak görülmektedir. Yirmi sekiz yaşında primer amenore ve ilk evliliğinde başarısız koitus öyküsü bulunan hastamız, vajinoplasti isteği ile kliniğimize başvurdu. Olguya sigmoid vajinoplasti operasyonu yapıldı. Postoperatif altıncı ayda evlilik yaptı ve 1.5 yıllık takipte herhangi bir komplikasyon görülmedi.

Sigmoid vaginoplasty: A case report

The Mayer-Rokitansky-Küstner-Hauser (MRKH) syndrome is a rare congenital cause of primary amenorrhea, due to uterovaginal agenesis. Several surgical techniques have been used to create a neovagina. Neovagina construction with a sigmoid graft appears to be the best option, as it offers adequate length and natural lubrication, allowing early intercourse. A 28 years old women presented to our clinic with primary amenore and unsuccessful coitus at her first marriage whishing vaginoplasty. Sigmoid vaginoplasty performed for the patient. Six months after the operation our case had a marriage. For the one and a half year follow up no complication observed.

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