The Central Obstetrics and Gynecology Hospital has received and treated a 25-year-old female patient diagnosed with Rokitansky syndrome.
Rokitansky's syndrome (MRKH) is a rare congenital defect in which a woman does not have the uterus, cervix, and vagina, although the ovaries and endocrine function still develop completely normally.
Faced with the physical and psychological difficulties that this disease brings, the problem for doctors is not only medical intervention, but also how to help patients have a fuller, more confident and quality life.
In the world today, there are many vaginal reconstruction methods to improve the quality of life for patients with Rokitansky syndrome. However, each method has certain limitations. Techniques using intestines to reshape the vagina can cause increased discharge, unpleasant odor; while skin or oral mucosa grafts are prone to dryness, stickiness, and vaginal stenosis, which has a significant impact on the patient's sexual and psychological life.
Starting from the desire to bring a safe, sustainable and highly humane solution, the Central Obstetrics and Gynecology Hospital has implemented the technique of vaginal reconstruction using peritoneal fascia using the Davydov method. The surgery was directly performed by Assoc. Prof. Dr. Vu Ba Quyet - former Director of the Central Obstetrics and Gynecology Hospital, helping to minimize complications and bring long-term efficiency to patients.
Sharing about the surgery, Assoc. Prof. Dr. Vu Ba Quyet said: This is a difficult technique, requiring surgeons to have a solid grasp of pelvic anatomy. If careless operation can cause damage to the rectum and urethra. In particular, the period of vaginal retention and consolidation after surgery plays a decisive role in long-term results, because if not performed correctly, the vagina is very susceptible to reattachment.
Before surgery, the patient was thoroughly diagnosed by endoscopy. Doctors discovered erectile dysfunction accompanied by abnormalities with only one right kidney and abnormal uterine structure. On that basis, the surgical team proceeded to create a peritoneum patch, open the surgical gap between the urethra - bladder and rectum, gradually flatten it to the appropriate diameter, then pull the peritoneum out of the vulva to create a new vaginal shape. A soft core made of gas was placed and fixed for 48 hours, changed periodically to limit the risk of adherency.
After surgery, the patient was instructed to apply estrogen on the spot, regular vaginal retention. After about two weeks, the patient can start sexual intercourse and after three months can have normal sexual activity, meeting physiological needs, and significantly improving quality of life and confidence.
MSc.BS Dam Thi Quynh Lien - Deputy Head of the Department of Obstetrics and Gynecology - shared: Patients with congenital sexual defects are rare cases, but that does not lose the right to love, the right to be a wife and the right to live a full life like many other women. With the development of modern medicine, if there is a need to have children, patients can still have egg aspiration and use surrogacy in accordance with the law.
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