title: Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser syndrome.
abstract: OBJECTIVE
  To investigate the functional and sexual outcome of sigmoid vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Fifty-nine consecutive patients with MRKH syndrome.
  
  
  METHODS
  Forty-eight patients underwent sigmoid vaginoplasty, and 11 were treated using the Frank method of dilatation.
  
  
  METHODS
  Functional results and sexuality were evaluated with the use of two standardized questionnaires: the Female Sexual Function Index (FSFI) and the revised Female Sexual Distress Scale (FSDS-R). Questions were added to analyze depression, body image perception, and desire of motherhood.
  
  
  RESULTS
  Out of the 68% of patients who answered the questionnaire, 73% had regular sexual intercourse. The mean total FSFI score was 28 ± 3.1 in the operated group and 30 ± 5.3 in the group treated with the Frank method. Their mean FSDS-R scores were 21 ± 12.1 and 18 ± 13.8, respectively.
  
  
  CONCLUSIONS
  Sigmoid vaginoplasty is an effective technique providing a nearly normal sexual function to patients with vaginal aplasia. Despite this, psychologic distress related to sexuality persists in most patients, demonstrating the need for a multidisciplinary support.
authors.affiliation: Université de Lyon, Lyon, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Carrard
authors.forename: Marie
authors.initials: M
authors.lastname: Chevret-Measson
authors.forename: Aude
authors.initials: A
authors.lastname: Lunel
authors.forename: Daniel
authors.initials: D
authors.lastname: Raudrant
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D000015:Abnormalities, Multiple / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D000300:Adoption / Q000523:psychology; D001828:Body Image; D016009:Chi-Square Distribution; D000013:Congenital Abnormalities; D003863:Depression / Q000209:etiology; D005260:Female; D005602:France; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006785:Hospitals, University; D006801:Humans; D007316:Insemination, Artificial, Heterologous / Q000523:psychology; D007668:Kidney / Q000002:abnormalities; D009095:Mullerian Ducts / Q000002:abnormalities; D017060:Patient Satisfaction; D010465:Perception; D020127:Recovery of Function; D019529:Sexuality; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D019738:Surgically-Created Structures / Q000009:adverse effects; D013533:Gestational Carriers / Q000523:psychology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult