Resumo
Objetivo: Describir el manejo terapéutico exitoso del condiloma acuminado en la neovagina de una paciente con síndrome de Mayer-Rokitansky-Küster-Hauser (MRKH), mediante vaporización con láser de CO₂. Detalles del caso: Mujer cisgénero, heterosexual, de 24 años, con antecedente de síndrome de MRKH tipo I, tratada previamente con dilatación vaginal, alcanzando una longitud total de 7 cm. Fue atendida en un ambulatorio de Patología del Tracto Genital Inferior con quejas de dispareunia de profundidad y sinusorragia. Al examen físico se observaron lesiones condilomatosas en vulva y neovagina, las cuales fueron biopsiadas y confirmadas como condiloma acuminado mediante análisis histopatológico. Se optó por vaporización con láser de CO₂ (SmartXideTouch®, 10W, modo continuo). A los siete días del procedimiento, la paciente presentaba cicatrización satisfactoria y, a los cuatro meses, estaba asintomática y sin evidencia clínica de recurrencia. Consideraciones finales: Este caso refuerza la utilidad del tratamiento con láser de CO₂ para condiloma acuminado en neovagina, aportando al manejo de condiciones ginecológicas en anatomías vaginales reconstruidas.
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