Rectosigmoid vaginoplasty in patients with vaginal agenesis: sexual and psychosocial outcomes.

Background: The main goal in women with Mayer-Rokitansky-Küster-Hauser syndrome (vaginal agenesis) is creation of a neovagina that will satisfy the patient's desire. We evaluated sexual and psychosocial adjustment in patients who underwent rectosigmoid vaginoplasty because of vaginal agenesis.

Methods: A total of 36 women, aged 21 to 38 years (mean=26) who underwent rectosigmoid vaginoplasty from 1997 to 2006 were evaluated.

[Post-traumatic stress disorder and coping strategies in psychotraumatized refugees].

Introduction: In extreme life events basic assumptions are frequently reassessed and changed. Therefore, trauma requires re-education. Effective coping strategies enable individual to tolerate, minimize, accept or ignore what one cannot manage and to moderate the consequences of stressful, traumatic events.

Pathways to psychiatric care in Eastern Europe.

Background: There has been almost no research into mental health services in Eastern Europe. A pathways study is a quick and useful starting point, requiring few resources.

Aims: To improve understanding of prior care-seeking and treatment of new patients seen at mental health services.