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• W2011121186 abstract "No AccessJournal of UrologyReconstruction1 Oct 2010Sexuality and Psychosocial Functioning in Young Women After Colovaginoplasty Claudia Gatti, Carmine Del Rossi, Laura Lombardi, Francesca Caravaggi, Emilio Casolari, and Giovanni Casadio Claudia GattiClaudia Gatti More articles by this author , Carmine Del RossiCarmine Del Rossi More articles by this author , Laura LombardiLaura Lombardi More articles by this author , Francesca CaravaggiFrancesca Caravaggi More articles by this author , Emilio CasolariEmilio Casolari More articles by this author , and Giovanni CasadioGiovanni Casadio More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.03.078AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We examined sexuality and psychosocial functioning in patients with Mayer-Rokitansky-Kuster-Hauser syndrome who underwent colovaginoplasty. Materials and Methods: Patients who underwent colovaginoplasty for Mayer-Rokitansky-Kuster-Hauser syndrome in Italy and Bangladesh were required to meet certain criteria, including age greater than 18 years, college degree/high socioeconomic status, procedure done by the same surgical team and a minimum 6-year followup. Outcomes were evaluated by a retrospective chart review and an English version of the female sexual function index. Psychosocial functioning was measured by an English version of a 36-item survey, including the Rosenberg Self-Esteem Scale, Beck Depression Index and Cohen Test for Life Management ability with results compared to those in 30 healthy control subjects. Results: Of 40 patients who answered the female sexual function index 37% were married and 12% had adopted children while 40% were sexually active, 100% were attracted to males and 7% were on self-dilation. None required pads and 80% used a home douche. Of the patients 92% reported sexual desire and 87% reported sexual arousal. Sexual confidence and satisfaction were reported by approximately 90% of the patients and partner satisfaction was considered adequate by 93%. Most patients reported satisfactory orgasm. Of the women 89% reported adequate lubrication and none reported dyspareunia. Psychosocial functioning was not statistically different between patients and controls. Conclusions: Based on the scoring system outcome colovaginoplasty seems to be an excellent choice to manage vaginal agenesis and ensure good quality of general and sexual life. References 1 : The formation of an artificial vagina without operation. Am J Obstet Gynecol1938; 35: 1053. Google Scholar 2 : Neocolpopoiesis with split-thickness skin graft as a surgical treatment of vaginal agenesis. retrospective review of 201 cases. Am J Obstet Gynecol1996; 175: 131. Google Scholar 3 : Vaginal reconstruction utilizing sigmoid colon: complications and long term results. 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Google Scholar Pediatric Surgery Unit, Ospedale Maggiore, Parma, Italy© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 184Issue 4SOctober 2010Page: 1799-1803 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Keywordsreconstructive surgical proceduresvaginasexual dysfunctionphysiologicalquestionnairesabnormalitiesAcknowledgmentsDr. Anthony Caldamone provided support.MetricsAuthor Information Claudia Gatti More articles by this author Carmine Del Rossi More articles by this author Laura Lombardi More articles by this author Francesca Caravaggi More articles by this author Emilio Casolari More articles by this author Giovanni Casadio More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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