Vaginal aplasia
| Classification according to ICD-10 | |
|---|---|
| Q52.0 | Congenital absence of the vagina |
| ICD-10 online (WHO version 2019) | |
As vaginal aplasia or vaginal aplasia (aplasia of the vagina) is known in the medical absence or incomplete formation of the vagina as a result of a congenital inhibition malformation , which is due to the lack of training of Vaginalknospen and Vaginalplatte in ontogenetic development is not to break through the Mueller courses comes into the urogenital sinus .
Vaginal aplasia is almost always a symptom of Mayer-Rokitansky-Küster-Hauser syndrome , Swyer syndrome , complete androgen resistance or Turner syndrome and is then associated with other malformations, such as the absence of the uterus.
The therapy of vaginal aplasia with the aim of enabling normal sexual intercourse is carried out with the conservative approach by stretching according to Frank. The vagina is stretched by dilators , your own fingers and / or sexual intercourse itself. This procedure requires a high degree of willingness on the part of the patient, but proves to be far superior for the development of self-esteem and body awareness, so that it is now recommended as the method of first choice if the findings are suitable. All surgical procedures for creating a neovagina ( colpopoiesis ) can cause injuries to the vagina and rectum, and psychosocial follow-up care is often inadequate. The most common methods are the McIndoe epidermal sheath, the intestinal sheath, the peritoneal sheath and the Vecchietti neovagina.
Individual evidence
- ^ Keyword vaginal aplasia. in Stephan Dressler, Christoph Zink: Pschyrembel Dictionary Sexuality. de Gruyter, Berlin 2006, ISBN 3-11-016965-7 , p. 564.
- ↑ The Erlangen MRKH Portal ( Memento of the original from May 18, 2010 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. accessed on March 14, 2010
Web links
- University Women's Clinic Tübingen: Neovagina . (Adviser to the University Women's Clinic in Tübingen); last accessed on March 11, 2016.
