ABSTRACT
Background
Various vaginal reconstructive procedures have been described for patients with Mayer−Rokitansky−Küster−Hauser (MRKH) syndrome. We describe the success of a novel laparoscopic vaginoplasty
procedure using an anteroposterior peritoneal pull-down technique.
Case
Four patients with MRKH syndrome underwent a modified laparoscopic Davydov procedure
using an anteroposterior peritoneal pull-down technique with a transverse laparoscopic
incision below the strand. Anatomical success was achieved in all patients, allowing
easy introduction of 2 fingers, an epithelialized neovagina, and a mean length of
8.0 cm (range 7.0-9.0cm). All 3 patients who attempted sexual intercourse were successful,
and neovagina size was adequately maintained at the long-term follow-up in the remaining
patient.
Summary and Conclusion
This novel procedure presents as a feasible and an effective approach for vaginal
reconstruction in patients with MRKH syndrome.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric and Adolescent GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- An update on surgical and non-surgical treatments for vaginal hypoplasia.Hum Reprod Update. 2014; 20: 775
- Long-term results of vaginal construction with the use of Frank dilation and a peritoneal graft (Davydov procedure) in patients with Mayer-Rokitansky-Küster syndrome.Fertil Steril. 2015; 103: 220
- Comparison of two laparoscopic peritoneal vaginoplasty techniques in patients with Mayer-Rokitansky-Küster-Hauser syndrome.Int Urogynecol J. 2015; 26: 1201
- Anatomic and functional outcomes of paramesonephric remnant-supported laparoscopic double-layer peritoneal pull-down vaginoplasty technique in patients with Mayer-Rokitansky-Küster-Hauser syndrome: Uncu modification.J Minim Invasive Gynecol. 2018; 25: 498
- Creation of a neovagina by Davydov's laparoscopic modified technique in patients with Rokitansky syndrome.Am J Obstet Gynecol. 2010; 202: 33
- Female genital appearance: “normality” unfolds.BJOG. 2005; 112: 643
- Surgery is not superior to dilation for the management of vaginal agenesis in Mayer-Rokitansky-Küster-Hauser syndrome: a multicenter comparative observational study in 131 patients.Am J Obstet Gynecol. 2018; 219: 281
- Livebirth after uterus transplantation.Lancet. 2015; 385: 607
- Which neovagina reconstruction procedure for women with Mayer-Rokitansky-Kuster-Hauser syndrome in the uterus transplantation era? Editorial from the French Uterus Transplantation Committee (CETUF) of CNGOF.J Gynecol Obstet Hum Reprod. 2018; 47: 175
Article info
Publication history
Published online: February 16, 2021
Accepted:
February 7,
2021
Received in revised form:
February 2,
2021
Received:
November 8,
2020
Identification
Copyright
© 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
