title: A simplified novel laparoscopic formation of neovagina for cases of Mayer-Rokitansky-Küster-Hauser syndrome.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Women's Health University Center, Assiut University, Assiut, Egypt. a_darwish@mailcity.com
authors.forename: Atef Mohammad
authors.initials: AM
authors.lastname: Darwish
mesh_terms: 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*