title: Sexual dysfunction treatment in a patient with müllerian agenesy submitted to neovaginoplasty: a case report.
abstract: Vagina agenesis is a rare entity. Mayer-Rokitansky-Kuster-Hauser syndrome is the most significant cause of vagina agenesis, whereas the second most common cause is complete androgen syndrome. Surgical treatment can propitiate a vaginal reconstruction, but sexual function depends on several factors that affect sexual performance. Many reports focus on the intraoperative and postoperative results and only describe the global approach to these patients, but reports focusing on the management of these patients to enable them to have a normal sexual life are lacking. This case report highlights a multidisciplinary treatment for this kind of morbidity and emphasizes the necessity of incorporating careful attention to sexual health in the treatment of these patients so that they may achieve a good therapeutic response, resulting in a pleasurable sexual life and a good quality of living.
authors.affiliation: Sexual Medicine Sector, Department of Gynecology and Obstetrics, Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil. luciaalvess@yahoo.com.br
authors.forename: Lucia Alves Silva
authors.initials: LA
authors.lastname: Lara
authors.forename: Rui Alberto
authors.initials: RA
authors.lastname: Ferriani
authors.forename: Adriana Peterson Mariano Salata
authors.initials: AP
authors.lastname: Romao
authors.forename: Flavia Raquel Rosa
authors.initials: FR
authors.lastname: Junqueira
authors.forename: Sany Rose
authors.initials: SR
authors.lastname: Ferrarese
authors.forename: Alessandra Ricci
authors.initials: AR
authors.lastname: Manganaro
authors.forename: Ana Carolina Japur
authors.initials: AC
authors.lastname: de Sa Rosa-E-Silva
mesh_terms: D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000150:complications* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000628:therapy*; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology* / Q000628:therapy*; D019738:Surgically-Created Structures / Q000009:adverse effects; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities / Q000601:surgery