Laparoscopy-assisted Ruge procedure for the creation of a neovagina in a patient with Mayer-Rokitansky-Küster-Hauser syndrome.
OBJECTIVE
To describe the successful use of a laparoscopy-assisted Ruge procedure for the reconstruction of a vagina in a patient with Mayer-Rokitansky-Küster-Hauser syndrome.


METHODS
Case report.


METHODS
A university hospital.


METHODS
A 19-year-old Japanese woman with Mayer-Rokitansky-Küster-Hauser syndrome.


METHODS
Creation of a neovagina by a laparoscopy-assisted Ruge technique.


METHODS
Clinical examinations were performed during the follow-up period. The depth and diameter of the neovagina were measured by vaginography. Patient satisfaction also was determined.


RESULTS
The neovagina was 12 cm in length and 4 cm in diameter. The mucosa of the neovagina was pinkish and had a moist surface. No intraoperative or postoperative complications were observed.


CONCLUSIONS
The use of an isolated segment of the sigmoid colon for vaginal construction has the advantages of providing a sufficient length of neovagina and not requiring immediate postoperative self-dilatation. We believe that our procedure has various advantages in addition to those of the original Ruge method, including its minimally invasive nature and excellent cosmetic results. Further, a laparoscopy-assisted operation allows for the diagnosis of uterine defects and the creation of a neovagina at the same time.
Ota
H
H
Akita University School of Medicine, Akita, Japan. otah@obgyn.med.akita-u.ac.jp
Tanaka
J i
Ji
Murakami
M
M
Murata
M
M
Fukuda
J
J
Tanaka
T
T
Andoh
H
H
Koyama
K
K
D000293:Adolescent; D012809:Colon, Sigmoid / Q000637:transplantation; D004724:Endoscopy; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019738:Surgically-Created Structures; D013577:Syndrome; D014599:Uterus / Q000002:abnormalities; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*