VAGINAL AGENESIS AND CONGENITAL ADRENAL HYPERPLASIA Psychosocial Sequelae of Diagnosis and Neovagina Formation

被引：29

作者：

Langer, Martin ^{[1
]}

Gruenberger, Werner ^{[1
]}

Ringler, Marianne ^{[2
]}

机构：

[1] Dept Obstet & Gynecol 1, A-1090 Vienna, Austria

[2] Inst Depth Psychol & Psychotherapy, Vienna, Austria

来源：

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA | 1990年 / 69卷 / 04期

关键词：

genital malformation; MRK syndrome; CVAH syndrome; reconstructive surgery; psychosocial sequelae;

D O I：

10.3109/00016349009036159

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Eleven patients with Mayer-Rokitansky-Kuster syndrome (MRK) and 7 patients with adrenogenital syndrome (CVAH) were interviewed and tested pre- and postoperatively. MRK subjects were operated on with a modified Vecchietti procedure, CVAH subjects underwent genitoplastic and clitoroplastic operation. Psychosocial sequelae of and coping with malformation and treatment were assessed with semistructured interviews and the Giessen test. Anatomical and functional results of the vaginoplastic operation were excellent, and sexual satisfaction correlated with coping. 7/11 MRK patients were capable of good to fair adaptation to the malformation, whereas CVAH patients suffered severe distortions of body image. The malformation caused narcissistic damage in all cases. Circumstances of diagnosis, prevailing defense mechanism and consequences for counselling are discussed.

引用

页码：343 / 349

页数：7

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