B Cai1, J R Zhang, X W Xi, Q Yan, X P Wan. 1. Department of Obstetrics and Gynecology, Shanghai Jiao Tong University affiliated First People's Hospital, Shanghai, PR China.
Abstract
OBJECTIVES: To evaluate the technical feasibility and anatomical and functional outcomes of laparoscopically assisted sigmoid colon vaginoplasty (LASV) in women with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. DESIGN: A retrospective review of prospectively collected data. SETTING: Shanghai First People's Hospital, Shanghai Jiao Tong University. POPULATION: Twenty-six women with MRKH syndrome. METHODS: A record was made of mean operating time, length of hospital stay, perioperative complications and the anatomical and functional outcomes of surgery. MAIN OUTCOME MEASURES: The perioperative results, complications and anatomical and functional outcomes of LASV (with median 20 months follow up, range 5-48 months). RESULTS: The mean operating time and hospital stay were 238 minutes and 9.8 days, respectively. The mean fall in haemoglobin was 2.0 g/dl. The only significant perioperative complications were one case with blood transfusion and three cases with infection (one with urinary tract and two with adjunctive incision). A functioning vagina 10 to 15 cm in length and 4 cm in width was created in all women. Introital stenosis occurred in only two women (2 months later). Twenty-two women subsequently had intercourse and 20 women (91%) were satisfied with the surgery and subsequent sexual activity. CONCLUSIONS: LASV is an effective approach for women with MRKH syndrome. Both the anatomical and functional outcomes are satisfactory.
OBJECTIVES: To evaluate the technical feasibility and anatomical and functional outcomes of laparoscopically assisted sigmoid colon vaginoplasty (LASV) in women with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. DESIGN: A retrospective review of prospectively collected data. SETTING: Shanghai First People's Hospital, Shanghai Jiao Tong University. POPULATION: Twenty-six women with MRKH syndrome. METHODS: A record was made of mean operating time, length of hospital stay, perioperative complications and the anatomical and functional outcomes of surgery. MAIN OUTCOME MEASURES: The perioperative results, complications and anatomical and functional outcomes of LASV (with median 20 months follow up, range 5-48 months). RESULTS: The mean operating time and hospital stay were 238 minutes and 9.8 days, respectively. The mean fall in haemoglobin was 2.0 g/dl. The only significant perioperative complications were one case with blood transfusion and three cases with infection (one with urinary tract and two with adjunctive incision). A functioning vagina 10 to 15 cm in length and 4 cm in width was created in all women. Introital stenosis occurred in only two women (2 months later). Twenty-two women subsequently had intercourse and 20 women (91%) were satisfied with the surgery and subsequent sexual activity. CONCLUSIONS:LASV is an effective approach for women with MRKH syndrome. Both the anatomical and functional outcomes are satisfactory.
Authors: Ganka Douglas; Marni E Axelrad; Mary L Brandt; Elizabeth Crabtree; Jennifer E Dietrich; Shannon French; Sheila Gunn; Lefkothea Karaviti; Monica E Lopez; Charles G Macias; Laurence B McCullough; Deepa Suresh; V Reid Sutton Journal: Int J Pediatr Endocrinol Date: 2010-10-17