Psychosexual and functional outcomes after creation of a neovagina with laparoscopic Davydov in patients with vaginal agenesis.
OBJECTIVE
To describe sexual function and satisfaction after laparoscopic Davydov vaginoplasty in patients with an absent vagina due to Mayer-Rokitansky-Kuster-Hauser syndrome or androgen insensitivity syndrome compared with a control female population.


METHODS
A descriptive study of standardized, validated psychosexual and functional outcomes using a self-report questionnaire.


METHODS
Two tertiary care hospitals at an academic medical center.


METHODS
Six women with Mayer-Rokitansky-Kuster-Hauser syndrome or androgen insensitivity syndrome who underwent laparoscopic Davydov.


METHODS
Patients postoperatively completed a self-report survey of their medical, surgical, and sexual history and the standardized, validated Female Sexual Function Index (FSFI) and select questions from the Golombok Rust Inventory of Sexual Satisfaction (GRISS).


METHODS
Total scores and domain scores (desire, arousal, lubrication, orgasm, pain, satisfaction) on the FSFI were compared with a published control population of women. Descriptive results of domain questions on the selected questions of the GRISS were identified.


RESULTS
Six patients, aged 20-52 years, returned the questionnaires. Responses to the modified GRISS are represented by visual frequency of response bar graphs. Compared with the control population, the patients' scores were lower for arousability, lubrication, orgasm, and comfort on the FSFI.


CONCLUSIONS
Sexual function appears impaired in these six women who underwent laparoscopic Davydov as assessed by the FSFI. This may reflect characteristics of the patient population, as well as the inclusion of all patients' data even if they did not attempt vaginal intercourse in the previous month.
Department of Obstetrics and Gynecology, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada. lallen@mtsinai.on.ca
Lisa M
LM
Allen
Kerith L
KL
Lucco
Cortney M
CM
Brown
Rachel F
RF
Spitzer
Sari
S
Kives
D058489:46, XX Disorders of Sex Development / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery; D000015:Abnormalities, Multiple / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery; D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery; D000013:Congenital Abnormalities; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D010535:Laparoscopy / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009095:Mullerian Ducts / Q000002:abnormalities; D011183:Postoperative Complications / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000379:methods / Q000523:psychology / Q000534:rehabilitation; D012725:Sexual Behavior / Q000502:physiology* / Q000523:psychology*; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D054928:Validation Studies as Topic; D055815:Young Adult