Department of General Surgery and Gynecology, Cruz Vermelha Hospital, Curitiba, Paraná, Brazil.
J Minim Invasive Gynecol. 2012 Mar-Apr;19(2):176-82. doi: 10.1016/j.jmig.2011.12.012. Epub 2012 Jan 15.
Prolapse of a sigmoid neovagina, created in patients with congenital vaginal aplasia, is rare. In correcting this condition, preservation of coital function and restoration of the vaginal axis should be of primary interest. A 34-year-old woman with vaginal agenesis underwent vaginoplasty using sigmoid colon. Almost 6 years after the initial operation, she started complaining of a bearing-down sensation and an increase in vaginal discharge. She underwent 2 open surgeries and one vaginal surgery to treat the prolapse with no success. She came to our service and at vaginal examination the neovagina protruded approximately 5 cm beyond the hymen. The prolapse was treated successfully using a laparoscopic approach to suspend the neovagina to the sacral promontory (laparoscopic promontofixation). Prolapse of an artificially created vagina is a rare occurrence, without a standard treatment. Laparoscopy may be an alternative approach to restore the neovagina without compromising its function.
乙状结肠新阴道脱垂，在先天性阴道发育不全的患者中罕见。在纠正这种情况时，应主要关注保持性交功能和恢复阴道轴。一位 34 岁的阴道发育不全的女性接受了乙状结肠阴道成形术。初次手术后近 6 年，她开始出现下坠感和阴道分泌物增多。她接受了 2 次开放手术和 1 次阴道手术来治疗脱垂，但均未成功。她来我院就诊，阴道检查时新阴道突出处女膜约 5 厘米。我们采用腹腔镜方法将新阴道悬吊至骶骨岬（腹腔镜固定术）成功治疗了脱垂。人工阴道的脱垂是一种罕见的情况，尚无标准的治疗方法。腹腔镜可能是一种替代方法，可以在不影响其功能的情况下恢复新阴道。
