Laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome

Abstract

The feasibility and clinical therapeutic effects of laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHs) were explored. The records of 11 MRKHs patients who underwent laparoscopic sigmoid vaginoplasty from 2003 to 2005 were reviewed, and long-term results were evaluated by follow-up. The mean operating time was 234 min (range, 130-300 min), the mean hospital stay was 9.4 days (range, 7-15 days), and the mean hemoglobin drop was 1.91 g/dL (range, 1.6-3.2 g/dL). A functional neovagina was created measuring 11 to 14 cm in length and two fingers in breadth in all patients. No introitus stenosis was observed. No intra-operative or postoperative bowel complication occurred. At the 3rd postoperative month, the first intercourse began. One patient was lost to follow-up. One had no intercourse and was required to wear vaginal mold occasionally. None of the other nine women (100%) complained of local irritation or dyspareunia. They were satisfied with their sexual life. The cosmetic results were excellent. The laparoscopic sigmoid vaginoplasty realizes to make a functional neovagina. The main advantage is its minimal invasiveness. It is an ideal procedure for MRKHs patients.

Rectosigmoid Vaginoplasty: Clinical Experience and Outcomes in 86 Cases

“…Several authors reported a laparoscopic technique for isolating a segment of sigmoid colon to be used for vaginal construction as a minimally invasive procedure. It could be one of the methods of choice, but only in the hands of experienced and skilled surgeons [17,18].…”