Laparoscopic creation of a neovagina and recovery of menstrual function in a patient with Rokitansky syndrome: a case report.
A 16-year-old woman experiencing primary amenorrhoea and cyclic pelvic pain was diagnosed with Rokitansky syndrome, which was characterized by the absence of the uterus and the upper two-thirds of the vagina, normal salpinges and ovaries and a 4 x 3 cm Müllerian remnant containing functioning endometrium located near the left adnexa. With a combined laparoscopic-vaginal operation, the remnant was anastomized with the apex of the retrohymenal fovea. The operation allowed not only the creation of a neovagina but also the recovery of a regular menstrual activity and the theoretical restoration of the reproductive capacity of this patient. An accurate pre- and intra-operative evaluation of patients with Rokitansky syndrome is necessary to identify those who might benefit from this procedure.
Fedele
L
L
Dipartimento di Ostetricia, Ginecologia e Neonatologia, Fondazione 'Policlinico-Mangiagalli-Regina Elena', Università di Milano, Italia.
Bianchi
S
S
Berlanda
N
N
Bulfoni
A
A
Fontana
E
E
D000293:Adolescent; D005260:Female; D005836:Genitalia, Female / Q000000981:diagnostic imaging; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008598:Menstruation; D019738:Surgically-Created Structures; D013577:Syndrome; D016896:Treatment Outcome; D014463:Ultrasonography; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*