Treatment of Vaginal Atresia at a Missionary Hospital in Bangladesh: Results and Followup of 20 Cases

Abstract

Good perioperative preparation and assistance, assurance of cyclical followup and a trained surgical team permitted successful treatment of a complex genital malformation at a missionary hospital with modest services. Sigmoid vaginoplasty in a developing country seems to be the best choice because of simple management and followup. Young women unable to procreate because of vaginal atresia seem to have an unexpected normal family and social acceptance in Bangladesh after complete vaginal replacement.

Sexuality and Psychosocial Functioning in Young Women After Colovaginoplasty

“…25 We previously reported our experience with young women treated in a developing country. 26,27 That experience emphasized how sigmoid vaginoplasty seems to be the best choice due to simple management and followup. However, we did not clearly evaluate the functional outcome at that time.…”

Mayer-Rokitansky-Küster-Hauser Syndrome: Sexuality, Psychological Effects, and Quality of Life

“…It was reported that in Bangladesh a man may abandon a woman with a condition such as MRKH. 25 It was found that in India women did not seek medical help until the time of marriage arrangements. The families were counseled to marry their daughters to widowers who had already completed their families or to men who were physically challenged and wanted to adopt children.…”

Intestinal vaginoplasty: is it optimal treatment of vaginal agenesis? A pilot study

“…No major complication occurred in the patients who had undergone sigmoid vaginoplasty. Del Rossi et al [20] reported similar results. Hensle and Chang [21] used sigmoid colon in 20 patients, cecum in five patients, and ileum in eight patients.…”