Michala Lina, Strawbridge Louise, Bikoo Maligaye, Cutner Alfred S, Creighton Sarah M
Elizabeth Garrett Anderson UCL Institute for Women's Health, University College London Hospitals, 250 Euston Road, NW1 2PG, London, UK.
Int Urogynecol J. 2013 Mar;24(3):425-9. doi: 10.1007/s00192-012-1870-4. Epub 2012 Jul 14.
Congenital vaginal aplasia is a condition with devastating implications for fertility and sexuality. However, little is known on whether urinary symptomatology is more common prior and following vaginal lengthening procedures in these women.
We performed a prospective observational study of 19 women with vaginal agenesis before and after vaginal dilation treatment or a laparoscopic Vecchietti procedure. All women completed the ICIQ FLUTS questionnaire before and after treatment in order to assess incidence and changes in urinary symptomatology.
Urinary symptoms were present in 53% of women prior to treatment. The majority of bladder symptoms were not significantly altered by treatment, except for incomplete bladder emptying. Women following the Vecchietti procedure had increased urinary hesitancy and a poorer steam compared with those completing dilation treatment. The longer the vaginal length, the greater the urinary frequency.
Women with vaginal agenesis had significant levels of urinary symptoms and to our knowledge this has not been reported before. The majority of symptoms were not altered by treatment.
先天性阴道发育不全对生育和性功能有着严重影响。然而，对于这些女性在阴道延长手术前后泌尿系统症状是否更为常见，我们知之甚少。
我们对19例阴道发育不全的女性在进行阴道扩张治疗或腹腔镜Vecchietti手术后进行了前瞻性观察研究。所有女性在治疗前后均完成了ICIQ FLUTS问卷，以评估泌尿系统症状的发生率和变化。
53%的女性在治疗前存在泌尿系统症状。除膀胱排空不完全外，大多数膀胱症状在治疗后无显著改变。与完成扩张治疗的女性相比，接受Vecchietti手术的女性排尿犹豫增加且尿流较弱。阴道长度越长，尿频越明显。
阴道发育不全的女性存在显著程度的泌尿系统症状，据我们所知，此前尚无相关报道。大多数症状在治疗后未发生改变。
