Disorders of Sexual Differentiation: Surgical Challenges of Vaginal Reconstruction in Complete Androgen Insensitivity Syndrome (CAIS)

摘要

[...] diversion colitis was also described as a serious chronic postoperative complication of this type of vaginal reconstruction.20 In addition, in the same way malignant neoplasms emerged from the skin grafts in the Mclndoe procedure, adenocarcinomas arising from the transplanted portion of sigmoid colon, however uncommon, are also a concern. [...] routine screening with vaginoscopy must be performed.20 On the other hand, the Mayo Clinic offers the Mclndoe and Vecchietti procedures, as well as intestinal transplantation as operative modalities to construct the neo-vagina. [...] the method of choice still remains the Mclndoe procedure.21 From 1920 to 1985, the Mayo Clinic treated 225 patients with the Mclndoe procedure.