Management of Vaginal Agenesis

Abstract Rokitansky syndrome and complete androgen insensitivity syndrome are the most common causes of vaginal agenesis. Treatment should be deferred until adolescence to allow informed consent and compliance. The best treatment for vaginal agenesis remains controversial although vaginal dilation t...

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Bibliographic Details
Published inJournal of pediatric & adolescent gynecology Vol. 25; no. 6; pp. 352 - 357
Main Authors Nakhal, Rola S., MD, Creighton, Sarah M., MD, FRCOG
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.2012
Subjects
46, XX Disorders of Sex Development
Abnormalities, Multiple - surgery
Abnormalities, Multiple - therapy
Androgen-Insensitivity Syndrome - surgery
Androgen-Insensitivity Syndrome - therapy
Complete androgen insensitivity syndrome
Congenital Abnormalities
Dilatation
Female
Humans
Kidney - abnormalities
Kidney - surgery
Male
Mullerian Ducts - abnormalities
Mullerian Ducts - surgery
Obstetrics and Gynecology
Pediatrics
Rokitansky syndrome
Somites - abnormalities
Somites - surgery
Spine - abnormalities
Spine - surgery
Time Factors
Uterus - abnormalities
Uterus - surgery
Vagina - abnormalities
Vagina - surgery
Vaginal agenesis
Vaginal aplasia
Vaginal dilation
Vaginal hypoplasia
Vaginoplasty
Rokitansky syndrome
Vaginal dilation
Vaginal agenesis
Vaginal hypoplasia
Vaginoplasty
Vaginal aplasia
Complete androgen insensitivity syndrome
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Summary:Abstract Rokitansky syndrome and complete androgen insensitivity syndrome are the most common causes of vaginal agenesis. Treatment should be deferred until adolescence to allow informed consent and compliance. The best treatment for vaginal agenesis remains controversial although vaginal dilation therapy is still widely considered the first line treatment because success rates are high and associated risks are low. A variety of surgical options are also available, each with enthusiastic proponents. Long-term outcome studies on most surgical techniques, however, are still lacking and until recently most studies have reported on success rate in terms of anatomical success only, without including sexual function. Moreover, the medical literature lacks prospective comparative outcome studies, meaning that current choice of surgical procedure relies greatly on the surgeon’s preference and experience.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2011.06.003