Sexual Medicine Sector, Department of Gynecology and Obstetrics, Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil.
J Sex Marital Ther. 2010;36(2):166-72. doi: 10.1080/00926230903554586.
Vagina agenesis is a rare entity. Mayer-Rokitansky-Kuster-Hauser syndrome is the most significant cause of vagina agenesis, whereas the second most common cause is complete androgen syndrome. Surgical treatment can propitiate a vaginal reconstruction, but sexual function depends on several factors that affect sexual performance. Many reports focus on the intraoperative and postoperative results and only describe the global approach to these patients, but reports focusing on the management of these patients to enable them to have a normal sexual life are lacking. This case report highlights a multidisciplinary treatment for this kind of morbidity and emphasizes the necessity of incorporating careful attention to sexual health in the treatment of these patients so that they may achieve a good therapeutic response, resulting in a pleasurable sexual life and a good quality of living.
阴道发育不全是一种罕见的病症。苗勒管发育不全综合征是导致阴道发育不全的最主要原因,其次是完全雄激素不敏感综合征。手术治疗可以促成阴道重建,但性功能取决于影响性表现的几个因素。许多报告侧重于术中及术后结果,仅描述了对这些患者的整体治疗方法,但缺乏针对这些患者的管理以使其能够拥有正常性生活的报告。本病例报告重点介绍了这种发病率的多学科治疗方法,并强调了在治疗这些患者时必须关注其性健康,以使他们能够获得良好的治疗反应,从而拥有愉悦的性生活和良好的生活质量。