Left-sided sacrospinous ligament suspension for treating recurrent sigmoid neovagina prolapse.
Numerous techniques for surgical creation of a neovagina have been described for treating Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Sigmoid vaginoplasty is one well-described technique with satisfactory long-term outcomes. However, there are several case reports of subsequent prolapse of the sigmoid neovagina, which presents a unique challenge for surgical repair, as the associated mesentery can also be involved and is at risk during repair. We present a patient with MRKH syndrome and recurrent sigmoid neovagina prolapse who had undergone four prior attempts at repair. In all prior attempts, recurrence of her prolapse occurred within 3 months of the antecedent surgery. We describe the first report and successful long-term treatment of recurrent sigmoid neovagina prolapse using a left-sided sacrospinous ligament suspension.
Department of Obstetrics & Gynecology, University of Michigan, L4000 Women's Hospital, 1500 E. Medical Center Dr., SPC 5276, Ann Arbor, MI, 48109-5276, USA, scarolyn@med.umich.edu.
Carolyn W
CW
Swenson
John O
JO
DeLancey
Megan O
MO
Schimpf
D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008875:Middle Aged; D011391:Prolapse; D012008:Recurrence; D012447:Sacrum / Q000601:surgery; D019738:Surgically-Created Structures; D014621:Vagina / Q000601:surgery*; D014623:Vaginal Diseases / Q000601:surgery*