We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Pudendal thigh flap in the treatment of acquired gynatresia from caustic pessaries
- Authors
Ugburo, Andrew O.; Mofikoya, Bolaji O.; Oluwole, Ayodeji A.; Fadeyibi, Idowu O.; Abidoye, Gbadegesin
- Abstract
<bold>Objectives: </bold>To evaluate the use of vaginoplasty with the pudendal thigh flap in patients with gynatresia caused by herbal pessaries in a multidisciplinary context.<bold>Methods: </bold>The study included patients with herbal-pessary-induced vaginitis and gynatresia. Surgical treatment consisted of vaginoplasty with the pudendal thigh flap; patients with associated fibroids had a myomectomy during the same setting. The severity of the stenosis and the outcome after surgery were assessed with rating scales devised for the present study.<bold>Results: </bold>The study included 21 patients (mean age 36.05 ± 1.69 years, range 18-50 years). The most common reason for herbal pessary use was fibroids with infertility. Prior to presentation, most patients had already undergone a median of 2 procedures involving vaginal adhesiolysis and dilatations without improvement. In total, 17 (80.9%) patients underwent surgery. Of these, 6 (35.3%) presented with both fibroids and gynatresia. Before surgery, all patients had poor sexual function with apareunia. Postoperatively, 11 (64.7%) patients reported painless sexual intercourse.<bold>Conclusion: </bold>Joint management by plastic surgeons and gynecologists using the pudendal thigh flap for vaginoplasty in caustic gynatresia resulted in a functional vagina. Simultaneous myomectomy and vaginoplasty in patients with fibroids and gynatresia was safe.
- Subjects
NIGERIA; VAGINOPLASTY; GYNECOLOGIC surgery; FEMALE reproductive organs abnormalities; THIGH; SURGICAL flaps; PESSARIES; MYOMECTOMY; VAGINITIS; SEXUAL intercourse; CHEMICAL burns; PLASTIC surgery; UTERINE fibroids; TREATMENT effectiveness; SEVERITY of illness index; AFRICAN traditional medicine; ASHERMAN'S syndrome
- Publication
International Journal of Gynecology & Obstetrics, 2011, Vol 115, Issue 1, p44
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2011.04.010