Laparoscopic sacrocolpopexy to treat prolapse of the neovagina created by vaginal dilation in Rokitansky syndrome.
BACKGROUND
Vaginal dilation is the first choice of treatment for women with a short vagina due to Rokitansky syndrome. Although the neovagina lacks pelvic support, prolapse of the neovagina is a surprisingly rare complication of treatment. Laparoscopic sacrocolpopexy is recommended in the treatment of posthysterectomy vault prolapse in younger women but has not been used to treat neovaginal prolapse.


METHODS
A 23-year-old woman with Rokitansky syndrome presented with a symptomatic prolapse of the neovagina. This was successfully treated with a laparoscopic sacrocolpopexy.


CONCLUSIONS
Laparosopic sacrocolpopexy appears to be an effective treatment in the unusual situation of vaginal prolapse after dilation.
Second Department of Obstetrics and Gynaecology, Medical School, University of Athens, Greece.
Panagiotis
P
Christopoulos
Alfred
A
Cutner
Arvind
A
Vashisht
Sarah M
SM
Creighton
D058489:46, XX Disorders of Sex Development / Q000150:complications / Q000628:therapy; D000015:Abnormalities, Multiple / Q000628:therapy; D000328:Adult; D000013:Congenital Abnormalities; D004106:Dilatation; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities; D019736:Prostheses and Implants; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000209:etiology / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult