Prolapse of the neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome. A case report.
BACKGROUND
Mayer-Rokitansky-Kuster-Hauser syndrome is a rare entity. The creation of a sigmoid vagina was performed in some patients with this syndrome in the past, though it is not widely used now. We report on a patient who developed prolapse of a sigmoid vagina 33 years after the operation.


METHODS
A 57-year-old woman presented with a "falling-out" sensation in the vagina, pain, leukorrhea and dyspareunia. She had undergone an operation for creation of a sigmoid vagina 33 years earlier in our hospital. She and her husband desired conservation of the ability for sexual intercourse. The transabdominal method of retroperitoneal sacropexy of the sigmoid vagina was performed. The patient has maintained a satisfactory sexual life with her husband since the operation.


CONCLUSIONS
There are a few cases of prolapse of a sigmoid vagina in the literature, while the repair methods are not described in detail. To our knowledge, this is the first report of reconstruction of a sigmoid vaginal prolapse. Although the reasons for the neovaginal prolapse were not understood, the retroperitoneal sacropexy was successful in this case.
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Chiba, Japan.
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Matsui
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Seki
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Sekiya
D001705:Bioprosthesis; D012809:Colon, Sigmoid; D005260:Female; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D012723:Sex; D013577:Syndrome; D014596:Uterine Prolapse / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*