Laparoscopic vaginoplasty using a single peritoneal flap 10 years of experience in the creation of a neovagina in patients with Mayer Rokitansky Küster Hauser syndrome

Laparoscopic vaginoplasty using a single peritoneal flap may be a feasible and effective approach to creating a neovagina in patients with MRKH syndrome.

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Authors

Xi-Wa Zhao, M.D., Jun-Ying Ma, M.Sc., Yan-Xiu Wang, M.Sc., Hui Zhang, M.D., Jun Zhang, M.D., Shan Kang, M.D.

Volume 104, Issue 1, Pages 241-247

Abstract

Objective:

To assess anatomical and functional outcomes of a novel laparoscopic vaginoplasty technique using a single peritoneal flap (SPF) in patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome.

Design:

Prospective follow-up study.

Setting:

University-based tertiary-care hospital.

Patient(s):

Patients with MRKH syndrome (n = 83) and randomly selected frequency-matched age-comparable healthy women serving as controls (n = 85).

Intervention(s):

From March 2004 to March 2014, a total of 83 patients with MRKH syndrome underwent laparoscopic vaginoplasty using an SPF.

Main Outcome Measure(s):

Intraoperative parameters, postoperative parameters, and anatomical outcomes were recorded. The functional results of patients who became sexually active were assessed using the Female Sexual Function Index (FSFI) questionnaire and were compared with those of the controls.

Result(s):

Laparoscopic vaginoplasty using an SPF was successfully performed in all 83 patients, with no intraoperative complications. The mean operative time and intraoperative blood loss were, respectively, 71.2 ± 18.9 minutes and 88.5 ± 57.2 ml. The mean length and width of the neovagina at the 6-month follow-up examination were, respectively, 8.2 ± 0.8 cm and 3.0 ± 0.6 cm. Anatomical success was achieved in all patients. At 12 months after surgery, functional success, as assessed by the FSFI questionnaire, was achieved in 95.3% of patients. The FSFI scores did not differ significantly between patients with MRKH and healthy women in a control group.

Conclusion(s):

Laparoscopic vaginoplasty using an SPF may be a feasible and effective approach that has satisfactory anatomical and functional outcomes for patients with MRKH syndrome.

Read the full text at: http://www.fertstert.org/article/S0015-0282(15)00287-3/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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