Treatment for prolapse of the sigmoid neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome.
BACKGROUND
Colpopoiesis using the sigmoid colon may be used in treatment of patients with Mayer-Rokitansky-Kuster-Hauser syndrome. Prolapse of a sigmoid neovagina is rare and its treatment is not yet standardized.


METHODS
Two patients developed severe prolapse of a neovagina derived from the sigmoid colon. One patient underwent resection of the redundant sigmoid and an abdominal suspension procedure; however, the prolapse has recurred. The other patient was treated by removal of the entire sigmoid artificial vagina. An alternative neovagina was reconstructed with a pudendal thigh flap. She has no signs of recurrent prolapse and is satisfied with sexual intercourse.


CONCLUSIONS
Replacement therapy by a connected skin graft may be an excellent optional method as a radical treatment for prolapse of a sigmoid neovagina.
Yokomizo
Rei
R
Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai, Japan. yokomizo@ob-gy.med.tohoku.ac.jp
Murakami
Takashi
T
Naitou
Hiroo
H
Yamada
Atsushi
A
D000293:Adolescent; D000328:Adult; D001187:Artificial Organs; D012809:Colon, Sigmoid / Q000637:transplantation*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D013577:Syndrome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities*