A simplified novel laparoscopic formation of neovagina for cases of Mayer-Rokitansky-Küster-Hauser syndrome.
OBJECTIVE
To introduce a simple and easy surgical alternative for formation of a neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) that offers reasonable anatomic and functional results.


METHODS
Technique and instrumentation.


METHODS
University hospital.


METHODS
Two patients with complete vaginal aplasia without a uterus.


METHODS
Laparoscopic dissection of the rectovaginal space followed by extraperitoneal traction on a Foley catheter to form a neovagina.


METHODS
Width and length of the newly formed vagina, and postoperative feasibility of intravaginal sexual intercourse.


RESULTS
The results were satisfactory (normal length and width of neovagina), with no complications. Both patients began normal sexual activity within 8 to 10 days after the operation.


CONCLUSIONS
Extraperitoneal traction on a laparoscopically inserted Foley catheter seems to be a promising procedure. An endoscopist of average (i.e., not outstanding) experience can perform it at any endoscopic unit without sophisticated equipment or cystoscopy as it is easy to learn and perform. Relatively lower hospital costs, rapid return to work, and early sexual intercourse make it a reasonable procedure.
Darwish
Atef Mohammad
AM
Department of Obstetrics and Gynecology, Women's Health University Center, Assiut University, Assiut, Egypt. a_darwish@mailcity.com
D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities / Q000601:surgery; D019738:Surgically-Created Structures; D013577:Syndrome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*