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Italian doctor builds new, more natural vagina

ROME, (Reuters)

An Italian doctor has reconstructed vaginas for two women born with a rare congenital deformation, using their own cells to build vaginal tissue in the lab for the first time.

Dr. Cinzia Marchese of Rome's Policlinico Umberto I hospital, giving details of the operations yesterday, told Reuters a 28-year-old woman who underwent the first such operation a year ago now has a healthy vagina.

"She has got married and is living a normal life," said Marchese, whose study has been published in the journal Human Reproduction.

The second operation was carried out on a 17-year-old girl on Tuesday.

The two women had a condition called Mayer-Von Rokitansky-Kuster-Hauser Syndrome, or MRKHS for short, which affects an estimated one in 4,000 to 5,000 female infants.

Girls with the syndrome are born with no vagina. The patient often has a normal uterus, ovaries and external secondary sexual organs such as breasts, but cannot have sexual intercourse or give birth.

"Usually the syndrome is diagnosed when they are young and they try to have sexual intercourse for the first time and it hurts," said Marchese.

Often embarrassed to talk about it with their parents when they are young, MRKHS sufferers often "live the rest of their lives with no normal sexual life, even though they are normal women with normal feelings," she said.

So far, surgeons have been able to correct the condition by reconstructing a vagina out of grafted skin or from intestinal tissue, but the surgery is highly invasive, lengthy and painful. And it takes a long time to grow a normal mucosal wall.

Such women, if they have healthy ovaries, have been able to achieve pregnancy by artificial insemination but would then need a surrogate mother to carry the fertilised eggs and give birth.

 
May 31, 2007
 

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