Advertisement
Case Report| Volume 34, ISSUE 4, P566-568, August 2021

Laparoscopic Sacrocolpopexy With a Mesh for Sigmoid Neovaginal Prolapse: A Case Report

  • Xue Jiao
    Affiliations
    Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong Province, China
    Search for articles by this author
  • Guo-Yun Wang
    Correspondence
    Address correspondence to: Guo-Yun Wang, PhD, Professor, Surgeon, Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, No. 107 Wenhuaxi Road, Jinan 250012, Shandong Province, China. Phone: +86-18560081729.
    Affiliations
    Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong Province, China
    Search for articles by this author
Published:April 14, 2021DOI:https://doi.org/10.1016/j.jpag.2021.03.012

      ABSTRACT

      Background

      Creating a functional neovagina is a practical therapeutic intervention for women with congenital vaginal agenesis and sexual needs. Although the incidence of neovaginal prolapse (NP) is low, it is inconvenient for patients and is a challenging problem for gynecologists.

      Case

      A 32-year-old woman who had undergone transabdominal sigmoid vaginoplasty 10 years previously at another hospital visited our clinic for evaluation and treatment of NP. Gynecological examination showed exstrophy of the vaginal apex, 4 cm beyond the hymen. Laparoscopic sacrocolpopexy was performed using a mesh. The mesh was sutured at the anterior wall and apex of the neovagina and suspended in the anterior sacral region without blood vessels.

      Summary and Conclusion

      Laparoscopic sacrocolpopexy might be an effective and safe treatment for NP.

      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 access
      One-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 Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Callens N
        • De Cuypere G
        • De Sutter P
        • et al.
        An update on surgical and nonsurgical treatments for vaginal hypoplasia.
        Hum Reprod Update. 2014; 20: 775
        • Goligher JC
        The use of pedicled transplants of the sigmoid or other parts of the intestinal tract for vaginal construction.
        Ann R Coll Surg Engl. 1983; 65: 353
        • Bouman MB
        • van Zeijl MC
        • Buncamper ME
        • et al.
        Intestinal vaginoplasty revisited: a review of surgical techniques, complications, and sexual function.
        J Sex Med. 2014; 11: 1835
        • Djordjevic ML
        • Stanojevic DS
        • Bizic MR
        Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases.
        J Sex Med. 2011; 8: 3487
        • Schaffer J
        • Fabricant C
        • Carr BR
        Vaginal vault prolapse after nonsurgical and surgical treatment of MAAdullerian agenesis.
        Obstet Gynecol. 2002; 99: 947
        • Neron M
        • Ferron G
        • Vieille P
        • et al.
        Treatment of neovaginal prolapse: case report and systematic review of the literature.
        Int Urogynecol J. 2017; 28: 41
        • Matsui H
        • Seki K
        • Sekiya S
        Prolapse of the neovagina in the Mayer-Rokitansky-Kuster-Hauser syndrome. A case report.
        J Reprod Med. 1999; 44: 548
        • Yokomizo R
        • Murakami T
        • Naitou H
        • et al.
        Treatment for prolapse of the sigmoid neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome.
        Obstet Gynecol. 2002; 100: 1085
        • Calcagno M
        • Pastore M
        • Bellati F
        • et al.
        Early prolapse of a neovagina created with self-dilatation and treated with sacrospinous ligament suspension in a patient with Mayer-Rokitansky-Küster-Hauser syndrome: a case report.
        Fertil Steril. 2010; 93: 267
        • Sarlos D
        • Kots L
        • Ryu G
        • et al.
        Long-term follow-up of laparoscopic sacrocolpopexy.
        Int Urogynecol J. 2014; 25: 1207
        • Toh VV
        • Bogne V
        • Bako A.
        Management of recurrent vault prolapse.
        Int Urogynecol J. 2012; 23: 29
        • Kim TY
        • Jeon MJ
        Risk factors for vaginal mesh erosion after sacrocolpopexy in Korean women.
        PLoS One. 2020; 15e0228566