Sexuality after sigmoid colpopoiesis in patients with Mayer Rokitansky Kuster Hauser Syndrome

Communal, Pierre-Henri; Chevret‐Méasson, Marie; Golfier, François; Raudrant, D.

doi:10.1016/s0015-0282(03)00796-9

Cited by 69 publications

(60 citation statements)

References 32 publications

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“…Previous studies on the psychosocial and psychosexual consequences of sigmoid vaginoplasty have shown that the surgical procedure improves all the aspects of female sexual function allowing a normal sexual life among patients who had sexual relations [5]. All the patients in our series had some sexual activity during the follow-up.…”

Section: Discussionmentioning

confidence: 55%

“…In this period, anomalies of sexual organs may lead to profound identity problems, to a disturbed body image and to a low selfesteem due to the inability to conceive [3,4]. In these patients, vaginal re-construction has positive effects on sexual activity, self-esteem and body image thus improving the overall quality of life [4,5]. Numerous surgical and non-surgical methods have been proposed to create a vaginal tunnel.…”

Section: Introductionmentioning

confidence: 99%

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Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

et al. 2007

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We performed a historical cohort study of 62 consecutive patients who underwent abdomino-perineal vaginal re-construction with a segment of the sigmoid colon during a 25-year period. A dedicated database was reviewed for the aetiology of vaginal malformation, surgical complications and post-operative follow-up. Follow-up visits were scheduled 2, 6 and 12 months after discharge from hospital and annually thereafter. Fifty-eight (93.5%) patients were diagnosed as having Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS) and four (6.5%) had undergone previous demolitive surgery for gynaecologic malignancy. The mean operating time was 145 min (range 95 to 250 min). The mean hospital stay was 8.3 days (range 5 to 23 days). Post-operative complications requiring additional surgery occurred in 3 (4.8%) patients and were a case of necrotising fascitiis with leakage of the bowel anastomosis, a case of bowel occlusion and a case of neovaginal prolapse. The mean follow-up was 11.3 years (range 3 months to 24 years). We recorded 5 cases (8.1%) of sigmoid graft shrinkage treated successfully by dilation. The time interval between sigmoid vaginoplasty and first intercourse was 4 months (range 2 months to 4 years). During the follow-up, 32 (51.6%) women reported regular and 30 (48.4%) women reported occasional sexual intercourse; 80.6% (50/62) were "satisfied" with the surgical procedure. In this large series, laparotomic sigmoid vaginoplasty was a safe and acceptable technique to treat congenital absence of the vagina. This procedure allowed early sexual intercourse and was associated with a low incidence of shrinkage and a high rate of patients' satisfaction.

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Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

et al. 2007

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“…12,17 Since Rosen introduced his female sexual index more than decade ago, 18 little number of studies utilized it to assess the sexual function after vaginoplasty, among these studies Mc Indoe procedure was not the elected technique. 19 The total female sexual function scores in patients group and in normal females were >25. Although there was an apparent difference in pain parameter, still it did not reach the level to be significant.…”

Section: Resultsmentioning

confidence: 89%

FUNCTIONAL AND ANATOMICAL RESULTS AFTER M c INDOE VAGINOPLASTY

Tiwari¹,

Jain²,

Tiwari³

et al. 2015

jemds

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BACKGROUND:Mullerian agenesis is a challenge to reconstructive surgeons. In order to create a new vagina that mimic the normal one in size, lining and appearance, multiple techniques have been designed; among these techniques Mc Indoe vaginoplasty represents the simplest one with good results. PATIENTS AND METHODS: Five patients with mullerian agenesis underwent Mc Indoe vaginoplasty, they were followed for 12 months and their functional and anatomical results were recorded and compared with a control group of normal females. RESULTS: Patients treated by Mc Indoe vaginoplasty showed high success rate for creation of vagina that were approximately similar to normal one in size (length=12 cm and diameter= 4cm) , functionally their sexual satisfaction measured by FSSI were the same as in normal female. CONCLUSION: Mc Indoe procedure is a successful operation for creating an anatomical, functional and aesthetical satisfying vagina.

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“…질재건수술법은 매우 다양하게 보고되었는데 시술자의 선호 도, 전문성, 장비, 환자의 상태 등에 따라 다르다. 비수술적 방법으로 는 질확장술 [11,12], 수술적 방법으로는 다양한 방법이 보고되었는데 그 유형들을 보면 피부이식 [13][14][15], 근막피부판이식(fasciocutaneous flaps) [16], 구강점막이식 [17], 양막이식 [18], 복막이식 [19][20][21][22], 직장S 상결장절편이식 [23][24][25], 방광절편이식(vesical transplants) [26], 외부 피부의 상피화 [27][28][29] Values are presented as mean ± standard deviation and range. Mean length of hospital stay (day) 12.4 ± 1.5…”

Section: Ki-hyun Park Et Al Results Of Laparoscopic Davydov Techniqueunclassified

Results of laparoscopic davydov technique in 47 patients with congenital absence of the vagina: laparoscopic peritoneal vaginoplasty

Park

Yang

et al. 2012

Korean J Obstet Gynecol

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ObjectiveTo evaluate the technical feasibility and anatomical and functional outcomes of laparoscopic Davydov technique (transvestibular vaginoplasty with pelvic peritoneum) for the patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. MethodsThis study was a retrospective review of prospectively collected data of 47 women with MRKH syndrome between 2005 and 2011. Clinical examination, pelvic ultrasound, intravenous urography and/or renal ultrasound, laparoscopy, karyotyping, orthopedics and ears, nose, and throat examination, magnetic resonance imaging was performed and 47 patients with MRKH syndrome underwent surgery with the procedure. Their clinical, surgical, and follow-up data were recorded and the functional outcome was assessed by a brief and valid self-report questionnaire evaluating female sexual life (Female Sexual Function Index, FSFI). A control group was recruited to compare the results. ResultsThe mean operative time was 117.2 ± 35.3 minutes. Two intra-operative rectal and one bladder injury were repaired without sequels. One patients had vault granulation at the neovagina, which healed after electric cautery and one patient had mild enterocele. The mean length of the neovagina was 8.3 ± 1.1 cm (range, 6 to 11 cm) without any shrinkage at the follow-up of 18.9 months (range, 6 to 53 months) after operation. The neovaginal introitus admitted two fi ngers in width in all patients. There was no statistical difference in the total FSFI between the case and control groups. ConclusionLaparoscopic Davydov is a safe, effective treatment of MRKH syndrome with minimal invasion and a relatively low complication rate. The procedure has satisfactory anatomical and functional results. This technique offers advantages such as: short operating time and hospital stay, no particular instrumentation required and no external scars. Sexuality approaches so-called 'normal sexuality.'

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Sexuality after sigmoid colpopoiesis in patients with Mayer Rokitansky Kuster Hauser Syndrome

Cited by 69 publications

References 32 publications

Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

FUNCTIONAL AND ANATOMICAL RESULTS AFTER M c INDOE VAGINOPLASTY

Results of laparoscopic davydov technique in 47 patients with congenital absence of the vagina: laparoscopic peritoneal vaginoplasty

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