title: Plastic neo-vaginal construction in Mayer-Rokitansky-Küster-Hauser syndrome: an expert opinion paper on the decision-making treatment process.
abstract: Vaginal agenesis is a congenital anomaly that affects the life of one of each four thousand women around the world. There is a trend that patients request immediate surgical correction, instead of passive vaginal dilatation. Therefore a differentiated counselling should be provided. We present a comparative chart, based on published evidence, with aspect to the available techniques, which will facilitate the decision-making process in the clinical practice. From our point of view, the best results are achieved with techniques that combine the advantages of the minimal-invasive surgery with those derived of the use of peritoneum as covering tissue of the neovagina. Nevertheless there is a lack on interdisciplinary consensus about the best option to restore the physical and sexual quality of life.
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
authors.forename: Luz Angela
authors.initials: LA
authors.lastname: Torres-de la Roche
authors.affiliation: Dubai-London Specialty Hospital, Jumeirah, Dubai, United Arab Emirates.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Devassy
authors.affiliation: Dubai-London Specialty Hospital, Jumeirah, Dubai, United Arab Emirates.
authors.forename: Sreelatha
authors.initials: S
authors.lastname: Gopalakrishnan
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
authors.forename: Maya Sophie
authors.initials: MS
authors.lastname: de Wilde
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Herrmann
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
authors.forename: Angelika
authors.initials: A
authors.lastname: Larbig
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
authors.forename: Rudy Leon
authors.initials: RL
authors.lastname: De Wilde
keywords: Mayer-Rokitansky-Küster-Hauser syndrome; abnormalities; methods; müllerian ducts; neovagina; reconstructive surgical procedures; surgery of the female genitalia; vaginal surgery