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.
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.
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- An update on surgical and nonsurgical treatments for vaginal hypoplasia.Hum Reprod Update. 2014; 20: 775
- 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
- Intestinal vaginoplasty revisited: a review of surgical techniques, complications, and sexual function.J Sex Med. 2014; 11: 1835
- Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases.J Sex Med. 2011; 8: 3487
- Vaginal vault prolapse after nonsurgical and surgical treatment of MAAdullerian agenesis.Obstet Gynecol. 2002; 99: 947
- Treatment of neovaginal prolapse: case report and systematic review of the literature.Int Urogynecol J. 2017; 28: 41
- Prolapse of the neovagina in the Mayer-Rokitansky-Kuster-Hauser syndrome. A case report.J Reprod Med. 1999; 44: 548
- Treatment for prolapse of the sigmoid neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome.Obstet Gynecol. 2002; 100: 1085
- 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
- Long-term follow-up of laparoscopic sacrocolpopexy.Int Urogynecol J. 2014; 25: 1207
- Management of recurrent vault prolapse.Int Urogynecol J. 2012; 23: 29
- Risk factors for vaginal mesh erosion after sacrocolpopexy in Korean women.PLoS One. 2020; 15e0228566
Published online: April 14, 2021
Accepted: March 26, 2021
Received in revised form: March 11, 2021
Received: January 16, 2021
The authors declare that they have no conflicts of interest regarding this work.
No external funding was received for this study.
Written informed consent was obtained from the patient for the publication of this case report.
Author contributions: X. Jiao and G.-Y. Wang GY designed the study, performed the experiments, and collected the data; X. Jiao wrote the paper.
© 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.