Abstract:

Vaginal atresia is a relatively rare congenital malformation of the reproductive tract, which is caused by the failure of the urogenital sinus to participate in the formation of the lower segment of the vagina. Different surgical methods may lead to different complications, and there is limited long-term data on postoperative complications and management at home and abroad. A patient with type Ⅱ vaginal atresia who has undergone sigmoid colon vaginoplasty with uterine preservation was treated at the People′s Hospital of Xinjiang Uygur Autonomous Region. Thirty years after the surgery, the patients presented with paravaginal prolapse. After discussion by a multi-disciplinary team, the patient underwent vaginal reconstruction surgery and laparoscopic left ovarian cystectomy. The surgery was successful, and the patient had a good follow-up result 8 months after the surgery. This case aims to explore the long-term complications of sigmoid colon vaginoplasty for genital tract malformations and improve the understanding, diagnosis and treatment of such patients.

Key words: Vaginal atresia, Urogenital abnormalities, Uterine prolapse, Postoperative complications, Sigmoid colon vaginoplasty