doiSerbia

Sensibility of vagina reconstructed by McIndoe method in Mayer-Küster-Rokitansky-Hauser syndrome

Vesanović Svetlana (Vojnomedicinska akademija, Klinika za plastičnu hirurgiju i opekotine, Beograd)
Panajotović Ljubomir (Vojnomedicinska akademija, Klinika za plastičnu hirurgiju i opekotine, Beograd)
Garalejić Elijana (Klinički centar Srbije, Ginekološko-akušerska klinika "Narodni front", Beograd)

Background/Aim. Congenital absence of vagina is a failure present in Mayer-Küster-Rokitansky-Hauser syndrome. Treatment of this anomaly includes nonoperative and operative procedures. McIndoe procedure uses split skin graft by Thiersch. The aim of this study was to determine sensitivity (touch, warmness, coldness) of a vagina reconstructed by McIndoe method in Mayer-Küster-Rokitansky-Hauser syndrome and compare it with the normal vagina. Methods. A total of 21 female persons with reconstructed vagina by McIndoe method and 21 female persons with normal vagina were observed. All female persons were divided into groups and subgroups (according to age). Sensibility to touch, warmness and coldness were examined, applying VonFrey's esthesiometer and termoesthesiometer for warmness and coldness in three regions of vagina (enter, middle wall, bothom). The number of positive answers was registrated by touching the mucosa regions for five seconds, five times. Results. The obtained results showed that female patients with a reconstructed vagina by McIndoe method, felt touch at the middle part of wall and in the bottom of vagina better than patients with normal one. Also, the first ones felt warmness at the middle part of wall and coldness in the bottom of vagina, better than the patients with normal vagina. Other results showed no difference in sensibility between reconstructed and normal vagina. Conclusion. Various types of sensibility (touch, warmness, coldness) are better or the same in vaginas reconstructed by McIndoe method, in comparison with normal ones. This could be explained by the fact that skin grafts are capable of recovering sensibility.

Keywords: abnormalities, vagina, therapeutics, reconstructive surgical procedures, sensitivity and specificity, evaluation studies