Davydov Vaginoplasty in Mayer–Rokitansky–Küster–Hauser Syndrome Patient Presenting With Urethral Dilatation

Abstract

Introduction: Mayer–Rokitansky–Küster‐Hauser (MRKH) syndrome is a female congenital disorder characterized by an underdeveloped or absent vagina and uterus. The first‐line treatment to create a neovagina is patient‐performed vaginal dilatation. We report here the rare case of an MRKH patient who presented with urethral dilatation and was successfully treated with Davydov vaginoplasty.Case Report: Seventeen‐year‐old patient with known single kidney was consulted by a gynaecologist, and a diagnosis of MRKH syndrome was established. As the patient had urethral dilatation—resulting from repetitive intraurethral intercourse—neovaginal creation by means of self‐performed vaginal dilatation was precluded. Rather, the Davydov vaginoplasty was successfully performed; there were no postoperative complications, and the patient was fully continent postsurgery.Conclusion: MRKH patients and healthcare providers should be educated on the damaging consequences of intraurethral intercourse. More cases need to be reported to establish the best treatment options for a normal sexual life.