New attempt using labio-vestibular flap technique to manage circumcised women with Rokitansky syndrome (2008)
This study is a Explanatory research regarding All FGM/C with the following characteristics:
Author(s): Saeed Mohamed Ahmed Thabet and Athmar Hussein Ali
FGM/C Type(s): All
Health area of focus: Gynaecological,sexual.
Objective: To assess the efficacy of the labio-vestibular flap technique in managing circumcised women with Rokitansky syndrome and in correcting the sexuality defects caused by the anomaly present and by female circumcision.
Study Population: circumcised patients with Rokitansky syndrome
Findings: The new flap was formed of the remaining parts of the labia minora and the adjoining parts of the vestibule,and was used to cover the posterior and lateral walls. Meanwhile,the anterior wall was covered by the epithelium of the original blind vaginal pouch. The modified Kasr El Aini sexual assessment sheet assessesed sexuality. Results showed that Rokitansky syndrome could be classified into 4 clinical types according to the degree of development of the uterus. The labio-vestibular technique was simple and not associated with any graft rejection,hair growth or contraction of the reformed tract. Dyspareunia and marital failure were less significantly recorded in the labio-vestibular technique than in McIndoe’s technique. But,the most significant results were the improvement in sexuality,in addition to restoration of genital continuation,menstruation and fertility in some cases. The study concluded that the labio-vestibular flab technique was the most simple and most suitable line of treatment for circumcised cases with Rokitansky syndrome. In these cases,the technique achieved good results in correcting sexual defects after circumcision.
Geographical coverage
Region(s):Northern Africa
Country(ies):Egypt