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  • Genital Procedure

    Vaginal agenesis in Hyderabad

    Vaginal agenesis in Hyderabad is an uncommon condition in which the uterus (womb) may not form at all or only partially. This disorder starts before birth and could possibly lead to kidney or bone issues.

    Mullerian agenesis, mullerian aplasia, and Mayer-Rokitansky-Kuster-Hauser syndrome are other names for the disorder. When a female does not start menstruation during puberty, vaginal agenesis is frequently diagnosed.

    It is frequently effective to create a vagina by using a vaginal dilator, a tube-shaped instrument that, when used repeatedly, can extend the vagina. Occasionally, surgery may be required. Being treated makes it feasible to engage in vaginal activity.

    Females who do not menstruate but have vaginal agenesis may go unreported until they are in their teens (amenorrhea). Typical female development is generally followed by further puberty symptoms.

    Some characteristics or symptoms of vaginal agenesis include:

    • The genitalia resemble those of a regular woman.
    • The vagina may be missing or have only a tiny indentation where a vaginal opening would normally be. It may also be shorter without a cervix at the end.
    • There could be no uterus or merely a partially formed one. The endometrium, which is tissue that lines the uterus, can cause monthly cramps or persistent abdominal pain.
    • The ovaries are usually fully formed and functional, albeit they could be situated in an uncommon part of the abdomen.

    The following conditions may also be linked to vaginal agenesis:

    • Issues with kidney and urinary tract development
    • Alterations that occur when the spine, ribs, and wrists develop
    • Other congenital disorders that affect limb growth, the digestive system, and the heart

    Diagnosis of vaginal agenesis

    Based on the medical history and a physical examination of the patient paediatrician or gynaecologist will determine whether she has vaginal agenesis.

    When a woman’s menstrual cycles do not begin during puberty, even after she has grown breasts and pubic and underarm hair, vaginal agenesis is often diagnosed. Vaginal agenesis can occasionally be identified at a younger age while a newborn is being examined for other issues or when parents or a doctor observe the baby has no vaginal opening.

    The following tests are recommended to diagnose vaginal agenesis in Hyderabad-

    • Blood test-

     The diagnosis can be confirmed and other disorders can be ruled out with blood tests that evaluate hormone levels and analysing the patient’s chromosomes.

    • Ultrasound

    The doctor can see to examine if the patient have a uterus and ovaries from ultrasound scans, and they can tell if the kidneys are in trouble.

    • Imaging with magnetic resonance (MRI)

    The reproductive system and kidneys are clearly visible to the doctor with the help of MRI scan. The doctor may also request more tests to look at the heart, skeleton, and hearing.

    Treatment for vaginal agenesis through (vaginal agenesis surgery in Hyderabad)

    Most women who have vaginal agenesis can have vaginal agenesis surgery in Hyderabad in their late teens or early 20s, although they are free to wait until they are older and more motivated and prepared to receive treatment. Woman can talk about treatment choices with your doctor. Options may include self-dilating the vagina to create a vagina, or surgery, depending on certain factors.

    • Self dilation

    Usually, self-dilation is advised as the first course of action. The patient might be able to have a vagina without surgery by self-dilating. The aim is to extend the vagina to a size that is suitable for sex.

    Self-dilation involves applying a small, round rod (dilator), which feels a bit like a firm tampon, to the skin at the vaginal opening or inside the vagina, that the patient already have for 10 to 30 minutes, one to three times a day.

    The patient may gradually transition to bigger dilators as the weeks pass. To ensure the patient is aware of the procedure for self-dilation and to identify the dilator that is most effective for the patient it is important to talk to healthcare physician about it.

    To maintain the length of vagina over time, the patient will need either to use self-dilation at intervals advised by her doctor or engage in frequent sexual activity.

    Some patients, particularly in the beginning, report issues urinating, as well as bleeding and pain in the vagina. Using synthetic lubricant and experimenting with various dilators might be beneficial.

    After a warm bath, the skin might stretch more easily, so that would be a good moment for dilation. Women who have receptive partners have the option of self-dilating through frequent sexual contact.

    • Surgery

    Self-dilation may not be effective, thus vaginoplasty surgery to establish a functional vagina may be a possibility. Various vaginoplasty procedures include:

    • Using a tissue graft

    The tissue might be used as a variety of grafts by the surgeon to construct a vagina. Skin from the lower abdomen, buttocks, and outer thighs are examples of potential sources.

    To produce the vaginal opening, the surgeon makes an incision, applies the tissue graft onto a mould, and then inserts it into the freshly formed canal. About one week goes by when the mould is present. After vaginal agenesis surgery in Hyderabad, the patient often leaves a mould or vaginal dilator in place, but she can take them out to use the restroom or engage in sexual activity.

    • Inserting a medical traction device

    The surgeon will implant a balloon vaginoplasty device or an olive-shaped device at the opening of the vagina. The surgeon attaches the device to a different traction device on your lower belly or via the navel using thin, illuminated viewing equipment (laparoscope) as a guide.

    Over the course of about a week, the patient would gradually pull the traction device inward by tightening it every day. She will utilise a mould of various sizes for around three months after the gadget is removed. After three months, she can continue self-dilating or engage in regular sex to maintain a healthy vagina. Artificial lubrication will probably be needed during sexual activity.

    •  Bowel vaginoplasty

    An opening in the genital area is made into a new vagina by the surgeon during a bowel vaginoplasty. The surgeon then reconnects the remaining colon. After this procedure, the patient needs to use a vaginal dilator every day, and she does not require artificial lubrication during sexual activity.

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