Total endoscopic vaginal reconstruction in a case of Mayer-Rokitansky-Kuster-Hauser syndrome.
The congenital absence of the vagina is an uncommonly encountered malformation, known as Rokitanski- Kuster-Hauser syndrome. These patients may enjoy an improved quality of sexual life once a neovagina is constructed. Surgical and nonsurgical (Frank's autodilatation) methods of creating a neovagina by recurrent dilatations require long and often embarrassing self-catheterization which is often painful, and yield a vagina with limited length. The developing ability to perform complicated surgery by laparoscopy has revived interest in colonic and ileal interposition procedures for formation of a neovagina. We report a case of sigmoid colpoplasty for neovagina creation in a 15-year-old girl, performed completely by laparoscopy, with a favorable outcome and an easier recovery.
Lotan
Gad
G
Department of Pediatric Surgery, Assaf-Harofeh Medical Center, Zerifin, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Lotan@asaf.health.gov.il
Mashiach
Roy
R
Halevy
Ariel
A
D000293:Adolescent; D012809:Colon, Sigmoid / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D019651:Plastic Surgery Procedures; D019738:Surgically-Created Structures; D013577:Syndrome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*