Treatment of XXXX at a missionary hospital in Bangladesh: results and followup of 20 cases.

@entity1 @entity154 @entity1960 @entity14259 @entity850 @entity365 @entity790
PURPOSE: We report a 9-year experience with successful treatment of @entity1 with @entity365 at a missionary hospital with decreased facilities in Bangladesh. MATERIALS AND METHODS: From 1995 to 2002, 20 @entity1 10 to 29 years old (average age 18.4) with @entity14259 underwent total vaginal replacement. Ten of the 20 females were married and the @entity154 was discovered after marriage. In the remaining 10 cases the diagnosis was suspected by the parents because of absent menstruation. In all @entity1 the neovagina was created using a 12 to 14 cm segment of distal sigmoid colon. RESULTS: Short-term morbidity was minimal. At the long-term followup, which was available for 16 @entity1 , the neovagina had a good-appearing introitus. No @entity850 , stones or @entity1960 was reported. Six @entity1 already had an active sexual life, which was reported to be satisfactory. Five couples had already adopted 1 or more @entity1 . CONCLUSIONS: Good perioperative preparation and assistance, assurance of cyclical followup and a trained surgical team permitted successful treatment of a @entity790 at a missionary hospital with modest services. Sigmoid vaginoplasty in a developing country seems to be the best choice because of simple management and followup. Young @entity1 unable to procreate because of @entity365 seem to have an unexpected normal family and social acceptance in Bangladesh after complete vaginal replacement.
