1, congenital absence of vagina, belongs to female physiologically. This kind of patients are mainly fetal hair disorder, which leads to abnormal vaginoplasty. This disease is often accompanied by uterine loss or hypoplasia, while ovarian development is still normal. Therefore, the patient only has no vagina, and the rest are female developmental characteristics.
2. True hermaphrodites have ovaries and testicles, and the external genitalia are mixed, neither like women nor men, or mainly women or men, but their development is poor. In the body, one kind of estrogen is dominant, so it looks male or female. In this case, the gonad should be removed as soon as possible, and artificial vaginoplasty is feasible.
3. Pseudohermaphrodites are mostly feminized testicles, with underdeveloped external genitalia, full breasts, some blind vaginas, but lack of internal genitalia such as uterus. Such patients should have their testicles removed as soon as possible to prevent malignant transformation, and at the same time, estrogen should be used to replace women for artificial vaginoplasty. True and false men and women also think they are women and have the desire to get married and courtship. The reconstructed artificial vagina can satisfy their sexual life.
4, congenital absence of vagina or vaginal atresia.
5. Male pseudohermaphroditism.
6. Testicular feminization syndrome.
7. Sex change surgery.
Clinical methods of artificial vagina reconstruction;
1. Prepare according to regulations before intestinal operation, eat liquid diet before operation, and clean enema before operation.
2. Clean perineum several times a day before operation, and prepare skin every day before operation.
3, take the lithotomy position, epidural anesthesia or general anesthesia.
4, according to the provisions of disinfection, sterile towels.
5. Cut the tissue between urethra and anus to form a cavity.
6. Skin flap, intestine, mucosa or skin form the inner wall of vagina.
7, with iodoform and vaseline gauze packing oppression vagina.
8. The drainage strip was removed within 48 hours after operation, and the catheter was removed 10 day after operation.
9. After the artificial vagina reconstruction, the stitches were removed 10- 12 days, and all the vaginal dressings were taken out, and they went to the fields for activities. Put a mold in the vagina.
Message from Bian Xiao: In the field of female genital plastic surgery, artificial vaginal reconstruction plays an important role and is the savior of female patients such as vaginal loss. Patients who need vaginal reconstruction should remember safety first when doing artificial vaginal reconstruction.