Robotic Sigmoid Vaginoplasty in an Adolescent Girl With Mayer-Rokitansky-Kuster-Hauser Syndrome.
Sigmoid vaginoplasty has carved a niche for itself in reconstructive genitoplasty. We describe the successful use of a robotically assisted sigmoid vaginoplasty in an adolescent girl with Mayer-Rokitansky-Kuster-Hauser syndrome.



An 18-year-old girl was referred to our hospital with the complaint of primary amenorrhea. She was thoroughly evaluated and magnetic resonance imaging was done, which revealed absence of a vagina and uterus but bilateral normal ovaries. Because cytogenetic analysis was "normal 46,XX" karyotype, Mayer-Rokitansky-Kuster-Hauser syndrome was diagnosed. She was successfully managed by the use of robot-isolated sigmoid colon segment for vaginal replacement and robot-sewn colon-colon anastomosis. A follow-up was done at the 3rd and 6th months, which revealed a large capacious vagina even without self-dilatation.



The robotic approach is feasible and can produce satisfying postoperative outcomes and might be a minimally invasive technique in future vaginoplasty surgery.
From the Department of Obstetrics and Gynecology, School of Medicine, Akdeniz University, Antalya, Turkey.
Abdullah
A
Boztosun
Safak
S
Olgan
D058489:46, XX Disorders of Sex Development / Q000175:diagnosis / Q000235:genetics / Q000601:surgery*; D000293:Adolescent; D012809:Colon, Sigmoid / Q000601:surgery*; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000235:genetics / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D065287:Robotic Surgical Procedures; D019738:Surgically-Created Structures; D014621:Vagina / Q000601:surgery*