Symptoms and course of the disease
The main complaint with which 15-16-year-old girls go to the doctor is the absence of menstruation. At an older age, patients complain of the impossibility of having sex.
Treatment of the disease
The only way to treat the Rokitansky-Kustner syndrome is plastic formation of the neovagina - colpopoiesis from the pelvic peritoneum or sigmoid colon. Bougienage and dilation of the rudimentary vagina (colpoelongation) is possible only if its length is sufficient - 2-4 cm. The purpose of the intervention is to remove obstacles to normal sexual activity.
Diagnosis of the disease
A standard examination includes:
- collecting anamnesis;
- examination of the genital organs;
- assessment of physical and sexual development;
- laboratory and general clinical research;
- bacterioscopic and bacteriological examination of secretions from the genital tract;
- probing of the vagina;
- rectal abdominal examination;
- ultrasound examination of the urinary and reproductive systems.
Research data is enough to accurately determine the variant of the defect and the choice of the method of surgical treatment.
The patient's physique is usually correct, sexual and physical development is correlated with the age norm. Secondary sexual characteristics are quite well formed. When carrying out a gynecological examination, it is recorded that the external genital organs are developing correctly. When probing the vagina, a specialist discovers a small depression a centimeter or one and a half long behind the hymen. When carrying out a rectal abdominal examination in a typical place, the uterus cannot be determined, the strand is palpated there. The appendages cannot be identified either.
During the ultrasound examination, the ovaries and the absolute absence of the uterus are detected. In some cases, patients can find in parallel all kinds of malformations of the urinary system:
aplasia of the kidney;
lumbar or pelvic renal dystopia;
the phenomenon of doubling of the renal pelvis system.