title: Vaginal vault prolapse in a patient with Mayer-Rokitansky-Küster-Hauser syndrome: a video case presentation.
abstract: OBJECTIVE
  Several reports have described vaginal prolapse in Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome patients after creation of a neovagina. To our knowledge, no reports of primary vaginal prolapse of a blind pouch without previous intervention, or surgery for this condition, have been described.
  
  
  METHODS
  In this case report, we describe a 19-year-old woman with MRKH and complete prolapse of her shortened vaginal pouch. Surgical correction utilizing permanent suture-based sacrospinous ligament fixation was performed.
  
  
  RESULTS
  The patient had a successful outcome.
  
  
  CONCLUSIONS
  Sacrospinous ligament fixation provided a safe and effective method for the management of vaginal pouch prolapse. Long-term follow-up is planned. To our knowledge, this is the first report describing surgical repair of primary prolapse of a blind vaginal pouch in the setting of MRKH.
authors.affiliation: Division of Urogynecology, University of Chicago-NorthShore University Health System, 9650 Gross Point Road, Suite 3900, Skokie, IL, 60076, USA. cbotros@northshore.org.
authors.forename: Carolyn
authors.identifier: http://orcid.org/0000-0001-5823-1109
authors.initials: C
authors.lastname: Botros
authors.affiliation: Division of Urogynecology, University of Chicago-NorthShore University Health System, 9650 Gross Point Road, Suite 3900, Skokie, IL, 60076, USA.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Iyer
authors.affiliation: Division of Urogynecology, University of Chicago-NorthShore University Health System, 9650 Gross Point Road, Suite 3900, Skokie, IL, 60076, USA.
authors.forename: Alexis M
authors.initials: AM
authors.lastname: Tran
authors.affiliation: Division of Urogynecology, University of Chicago-NorthShore University Health System, 9650 Gross Point Road, Suite 3900, Skokie, IL, 60076, USA.
authors.forename: Roger P
authors.initials: RP
authors.lastname: Goldberg
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications*; D000013:Congenital Abnormalities; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D009095:Mullerian Ducts / Q000002:abnormalities*; D014596:Uterine Prolapse / Q000209:etiology* / Q000601:surgery; D055815:Young Adult
keywords: Mayer–Rokitansky–Küster–Hauser syndrome; Vaginal vault prolapse