Understanding Artificial Vagina Surgery
Artificial vagina surgery, a remarkable advancement in modern medicine, addresses a rare but genuine condition where some women are born without a vagina. While this situation is uncommon, the existence of the artificial vagina surgery demonstrates the progress in surgical techniques. So, what exactly is artificial vagina surgery?
Artificial vagina surgery involves reconstructing a vagina for individuals who do not have one. This surgical procedure creates a vaginal canal where the vagina would typically be located. Generally, the artificial vagina serves primarily for sexual intercourse after marriage. However, if the individual has normally developed ovaries and a uterus, this procedure allows for menstruation and the possibility of childbirth, similar to a biologically typical woman.
The Benefits of Vagina Reconstruction
A well-executed vaginal reconstruction not only addresses anatomical deficiencies and enhances the aesthetic appearances of the external genitalia but also significantly improves physiological function. It alleviates psychological issues that may arise from physiological or anatomical flaws, fostering healthy sexual relationships and enhancing overall quality of life.
Procedure for Vaginal Reconstruction
The surgery begins with the identification of the vaginal opening, located in the area between the labia. A U-shaped or Y-shaped incision, approximately 3 centimeters long, is made in the vestibular mucosa at this site. The incision is made deep enough to reach the submucosa. The next stage involves blunt dissection in the loose connective tissue between the urethra and rectum. During dissection, it is crucial for the assistant to insert a finger into the rectum to help prevent urethral and rectal injury by providing a tactile reference for the surgeon to check the front and back walls of the vaginal cavity.
Throughout the procedure, the surgeon aims to minimize sharp dissection. The dissection should begin with tissue scissors to perform blunt dissection to a depth of 3 to 4 centimeters before switching to blunt dissection using both hands. This method helps to protect the urethra and rectum. The resulting vaginal cavity should accommodate two to three transverse fingers and reach a depth of roughly 9 to 10 centimeters. Care should also be taken to avoid perforating the peritoneum.
During dissection, it is essential to consider the natural curvature of the female vagina, which initially tilts backward before bending upward and forward. By following a proper anatomical plane, dissection can proceed smoothly with minimal bleeding. Once the vaginal cavity is fully dissected, gauze is inserted to apply pressure and stop any bleeding. In the case of significant pulsating hemorrhage, electrocautery is employed for hemostasis.
Postoperative Outcomes of Vaginal Reconstruction
The safety of vaginal reconstruction surgery is notably high, and the surrounding tissues remain undisturbed during the procedure. The surgical technique closely mimics the physiological vagina, eliminating the need for vaginal molds. Most patients can resume sexual intercourse within a month following surgery, with ample width and depth in the newly created vagina. Additionally, the reconstructed vagina possesses lubrication and contraction capabilities.
Moreover, the pelvic environment remains relatively stable, resulting in minimal trauma and scarring, leading to an aesthetically pleasing outcome.
In conclusion, artificial vagina surgery stands as a testament to the advancements in modern medical technology. It offers solutions to individuals facing this specific issue, significantly benefiting many lives. The development of this procedure exemplifies the compassion and innovation within the healthcare sector.