Palabras clave
Infecciones por Papillomavirus
Láseres de Gas
Vagina
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Resumen
Objetivo: Descrever a condução terapêutica bem-sucedida de condiloma acuminado em neovagina em paciente com síndrome de Mayer-Rokitansky-Küster-Hauser (MRKH), utilizando vaporização com laser de CO₂. Detalhamento do caso: Mulher cisgênero, heterossexual, 24 anos, com histórico de síndrome de MRKH tipo I, tratada com dilatadores vaginais, alcançando 7 cm de comprimento total da vagina. Foi admitida em ambulatório de Patologia do Trato Genital Inferior com queixas de dispareunia de profundidade e sinusorragia. Ao exame, observavam-se lesões condilomatosas em vulva e neovagina - alvos de biópsia - com confirmação anatomopatológica de condiloma acuminado. Optou-se pela vaporização das lesões com laser de CO₂ (SmartXide Touch®, 10W, modo contínuo). Após sete dias do procedimento, a paciente já apresentava cicatrização satisfatória e, aos quatro meses, já não havia mais sintomas nem evidências clínicas de recidiva. Considerações finais: Este caso reforça a utilidade da terapia com laser de CO₂ no tratamento de condiloma acuminado em neovagina, contribuindo para o manejo de condições ginecológicas em anatomias vaginais reconstruídas.
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