title: Prolapse and sexual function 8 years after neovagina according to Shears: a study of 43 cases with Mayer-von Rokitansky-Küster-Hauser syndrome.
abstract: OBJECTIVE
  To investigate sexual and anatomical outcome after Shears neovagina in patients with Mayer-von Rokitansky-Kuster-Hauser syndrome (MRKH).
  
  
  METHODS
  Forty-three consecutive patients with MRKH syndrome underwent surgery creating a neovagina according to Shears. Follow-up was 8 years. Sexual function was assessed using the Female Sexual Function Index (FSFI) as patient reported outcome; anatomical results were assessed measuring anterior, posterior and apical prolapse using the ICS Pelvic Organ Prolapse Score (ICS-POP Score). Pelvic floor contraction was measured applying the Oxford grading system.
  
  
  RESULTS
  Thirty-seven of the patients were regularly sexually active and filled in the FSFI; mean total FSFI was 27.2 (range 24-28). No significant prolapse of the neovagina was noted, 11 patients had a grade I cystocele, rectocele or apical descent that was asymptomatic. Oxford grading of the pelvic floor contraction was 4 in median (range 2-5).
  
  
  CONCLUSIONS
  The neovagina according to Shears is a valuable surgical option with good sexual and anatomical outcome 8 years after therapy.
authors.affiliation: Department of Gynaecology, Frauenklinik, University Hospital and University of Bern, Bern, Switzerland. annette.kuhn@insel.ch
authors.forename: Annette
authors.initials: A
authors.lastname: Kuhn
authors.forename: Corinne
authors.initials: C
authors.lastname: Neukomm
authors.forename: Ekkehard F
authors.initials: EF
authors.lastname: Dreher
authors.forename: Jeannine
authors.initials: J
authors.lastname: Imobersteg
authors.forename: Michael D
authors.initials: MD
authors.lastname: Mueller
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D056887:Pelvic Organ Prolapse / Q000453:epidemiology*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*; D055815:Young Adult