Treatment of Vaginal Agenesis With a Functioning Uterus : Two Cases Presenting With Acute Abdomen

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  • Ukiyama Etsuji
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Ito Yasuo
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Nirasawa Yuji
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Watanabe Yoshiko
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Yoshida Fumiko
    Department of Pediatric Surgery, Kyorin University School of Medicine

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Other Title
  • 膣前庭粘膜圧伸法(Frank法)が有用であった下部膣欠損症の治療 : 急性腹症で発症した2症例
  • 症例報告 膣前庭粘膜圧伸法(Frank法)が有用であった下部膣欠損症の治療:急性腹症で発症した2症例
  • ショウレイ ホウコク チツゼンテイ ネンマク アッシンホウ Frankホウ ガ ユウヨウ デ アッタ カブ チツケッソンショウ ノ チリョウ キュウセイ フクショウ デ ハッショウ シタ 2 ショウレイ

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Abstract

Two patients presented to our hospital with acute abdomen. These fourteen-year-old and fifteen-year-old girls were suffering from hydrometrocolpos with lower vaginal agenesis and functioning uterus. Emergency operations were undertaken for drainage of the hydrometrocolpos. The drainage operation from the vestibule failed and exploration was needed for drainage. After drainage, extension of the vestibular epithelium was performed by the Frank procedure. The epithelium was elongated to 4.5 and 3.7cm. The hydrometrocolpos and the lower vagina were anastomosed nine and five months after the drainage. After the operation, a "prosthesis" was inserted to the neovagina. The Frank procedure has drawbacks as well as advantages. The drawbacks are the longer period needed for treatment, the skill necessary for elongation and patient cooperation. The advantages are cosmetic outcome and minimum intervention. The patients and their families are satisfied with the results.

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