Plastic Surgery>>>>>Breast, trunk and perineum
Question 1#

The following is true regarding vaginal agenesis:

a. It is caused by a defect in the mesonephric duct
b. Urinary abnormailities are rare
c. Vascularized bowel is the worst reconstructive option
d. Reconstruction should be delayed until an age where intercourse can occur so that reconstructions will remain patent
e. Can be treated with a split skin graft

Correct Answer is E


Can be treated with a split skin graft. McIndoe’s technique of a reversed split skin graft over a stent was presented as a Hunterian Oration in the 1940s. It requires persistent stent usage, and often contracts, but can result in an acceptable reconstruction. Urinary abnormalities are commonly found in vaginal agenesis (Mayer-Rokitansky-Kuster-Hauser syndrome), and should be excluded. Vascularised bowel is a reasonable option, although they can bleed and secrete excessive mucus. Early reconstruction is preferred before sexual awareness of the child, minimising psychological trauma. The defect is of the paramesonephric duct (Mullerian duct).