How is Vaginal Function in Patients with A History of Sigmoid Vaginoplasty Surgery?

Nuring Pangastuti; Muhammad Nurhadi Rahman; Adeodatus Yuda Handaya; Nurcahya Setyawan; Imam Sofii; Agus Barmawi; Marijata

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How is Vaginal Function in Patients with A History of Sigmoid Vaginoplasty Surgery?

Author: Nuring Pangastuti ^{1
,

2} ; Muhammad Nurhadi Rahman ^{1
,

2} ; Adeodatus Yuda Handaya ^{3
,

4} ; Nurcahya Setyawan ^{3
,

4} ; Imam Sofii ^{3
,

4} ; Agus Barmawi ^{3
,

4} ; Marijata ^{3
,

4}
Author Information

1. Department of Obstetrics and Gynaecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia&
2. Division of Urogynecology and Reconstrctive Surgery, Department of Obstetrics and Gynaecology, Dr Sardjito Hospital, Yogyakarta, Indonesia
3. Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia&
4. Division of Digestive Surgery, Department of Surgery, Dr Sardjito Hospital, Yogyakarta, Indonesia
Publication Type:Journal Article
Keywords: Sigmoid colon vaginoplasty, Vaginal agenesis, Vaginoplasty
From:Malaysian Journal of Medicine and Health Sciences 2020;16(Supp 3,June):18-23
CountryMalaysia
Language:English
Abstract: Introduction: Sigmoid colon vaginoplasty is a surgical procedure for the management of vaginal agenesis cases. This technique produces a neovagina that can function as a menstrual blood outlet as well as on penetration during sexual activity. Methods: A retrospective case study of vaginal agenesis, where sigmoid colon vaginoplasty surgery was performed at Dr. Sardjito Hospital Yogyakarta Indonesia in 2016-2018. The following post-surgical evaluation were assessed by observing the vaginal function to drain menstrual blood out, as well as function on penetration during sexual activity. Results: Sixteen cases of vaginal agenesis surgically performed were reported. Identification of the reproductive organs was carried out, in which 3 patients were without uterus, and 13 patients had menstrual uterine function. The length of sigmoid colon graft was around 15-20 cm. There were no complications during surgery. Post-surgical evaluation of 5 cases who have been married, all have been able to penetrate in sexual activity without meaningful complaints. All cases that had a uterus underwent regular menstrual cycles, with no dysmenorrhea. It can be said as a whole that this surgical procedure can be accepted by the patients, because it produced good vaginal function. Conclusions: Sigmoid colon vaginoplasty was a surgical procedure for congenital vaginal agenesis with satisfactory results. There were no complaints of dyspareunia or post-surgical dysmenorrhoea, resulting in a good cosmetic appearance of the external genitalia, and relatively mild complications.
Full text:11.2020my0712.pdf