title: Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty.
abstract: BACKGROUND
  Adequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible.
  
  
  OBJECTIVE
  To assess the psychosexual effect of vaginal reconstruction using the laparoscopic Vecchietti technique in patients with MRKHS.
  
  
  METHODS
  Forty-two patients with MRKHS who underwent laparoscopic Vecchietti vaginoplasty were included. Their partners also were interviewed. A control group of 45 age-matched, childless, sexually active women were examined during the same period.
  
  
  METHODS
  A gynecologic examination was performed to determine the anatomic outcome. Psychosexual function was evaluated with the Female Sexual Distress Scale-Revised (FSDS-R), the Female Sexual Function Index (FSFI), and a semistructured interview. Genital self-image was evaluated using the Female Genital Self-Image Scale (FGSIS).
  
  
  RESULTS
  Average neovagina length (7.0 ± 9.6 cm) in the MRKHS group was significantly shorter than the vaginal length in the control group (9.3 ± 2.5 cm). Women with a neovagina reported satisfactory sexual function (FSFI score = 29 ± 2.7) that was not significantly different from the control group (P < .05); however, they also had significantly higher levels of distress (FSDS-R score = 14.5 ± 6.5) and were not satisfied with their genitals (FGSIS score = 22.0 ± 2.4) compared with the control group.
  
  
  CONCLUSIONS
  Sexual function in women with MRKHS can be restored successfully by vaginoplasty; however, they have higher rates of distress and are less satisfied with their genitals. Pastor Z, Fronĕk J, Nováčková M, Chmel R. Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty. Sex Med 2017;5:e106-e113.
authors.affiliation: Department of Obstetrics and Gynecology, Second Faculty of Medicine, Charles University of Prague and Motol University Hospital, Prague, Czech Republic; National Institute of Mental Health, Klecany, Czech Republic. Electronic address: pastor.zlatko@volny.cz.
authors.forename: Zlatko
authors.initials: Z
authors.lastname: Pastor
authors.affiliation: Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
authors.forename: Jiří
authors.initials: J
authors.lastname: Froněk
authors.affiliation: Department of Obstetrics and Gynecology, Second Faculty of Medicine, Charles University of Prague and Motol University Hospital, Prague, Czech Republic.
authors.forename: Marta
authors.initials: M
authors.lastname: Nováčková
authors.affiliation: Department of Obstetrics and Gynecology, Second Faculty of Medicine, Charles University of Prague and Motol University Hospital, Prague, Czech Republic.
authors.forename: Roman
authors.initials: R
authors.lastname: Chmel
keywords: Female Sexual Dysfunction; Mayer-Rokitansky-Küster-Hauser Syndrome; Neovagina; Vecchietti Vaginoplasty