A modification of the fenton's technique as a vaginal reconstructive surgery in the correction of congenital partial vaginal atresia

ABSTRACT

Sexual function is an important aspect of an individual's well being. The inability to have sexual intercourse for any reason, when one chooses to, is a concern that will cause distress. It's the kind that does not only affect the individual who is unable to, but also the partner who is able to. Dyspareunia is one reason for this. The pain during coitus may be severe enough, and thus cause frustration everytime it is attempted. Reported here is a 31 year old nulligravid who has an incomplete form of congenital atresia of the outer third of the vagina on which a modified Fenton's procedure was done. The Fenton's surgical technique was originally conceptualized to "widen a tight vagina" in patients with postpartum dyspareunia caused by scar tissue formation and contacture after an episiorrapy. The above mentioned congenital defect, its incidence, embryogenesis, presentation and management are discussed in this case report. The innovation in surgical intervention is also described.