Please wait a minute...
Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2009, Vol. 3 Issue (3) : 347-351    https://doi.org/10.1007/s11684-009-0059-9
Research articles
Laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome
Yi SHEN MD , Guobin WANG MD , Zhoufang XIONG MD , Kaixiong TAO MD , Zehua WANG MD ,
Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
 Download: PDF(84 KB)  
 Export: BibTeX | EndNote | Reference Manager | ProCite | RefWorks
Abstract The feasibility and clinical therapeutic effects of laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHs) were explored. The records of 11 MRKHs patients who underwent laparoscopic sigmoid vaginoplasty from 2003 to 2005 were reviewed, and long-term results were evaluated by follow-up. The mean operating time was 234min (range, 130―300min), the mean hospital stay was 9.4 days (range, 7―15 days), and the mean hemoglobin drop was 1.91g/dL (range, 1.6―3.2g/dL). A functional neovagina was created measuring 11 to 14cm in length and two fingers in breadth in all patients. No introitus stenosis was observed. No intra-operative or postoperative bowel complication occurred. At the 3rd postoperative month, the first intercourse began. One patient was lost to follow-up. One had no intercourse and was required to wear vaginal mold occasionally. None of the other nine women (100%) complained of local irritation or dyspareunia. They were satisfied with their sexual life. The cosmetic results were excellent. The laparoscopic sigmoid vaginoplasty realizes to make a functional neovagina. The main advantage is its minimal invasiveness. It is an ideal procedure for MRKHs patients.
Keywords Mayer-Rokitansky-Kuster-Hauser syndrome      laparoscopy      sigmoid transplantation vaginoagenesis      
Issue Date: 05 September 2009
 Cite this article:   
Yi SHEN MD,Zhoufang XIONG MD,Guobin WANG MD, et al. Laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome[J]. Front. Med., 2009, 3(3): 347-351.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-009-0059-9
https://academic.hep.com.cn/fmd/EN/Y2009/V3/I3/347
Laufer M R. Congenital absence of the vagina: in search of the perfect solution.When, and by what technique, should a vagina be created? Curr Opin Obstet Gynecol, 2002, 14(5): 441―444

doi: 10.1097/00001703-200210000-00001
Folch M, Pigem I, Konje J C. Müllerian agenesis: etiology, diagnosis, and management. Obstet Gynecol Surv, 2000, 55(10): 644―649

doi: 10.1097/00006254-200010000-00023
Davies M C, Creighton S M. Vaginoplasty. Curr Opin Urol, 2007, 17(6): 415―418

doi: 10.1097/MOU.0b013e3282f0d5b3
Baldwin J F. XIV. The formation of an artificial vagina by intestinal transplantation. Ann Surg, 1904, 40(3): 398―403

doi: 10.1097/00000658-190440030-00014
Urbanowicz W, Starzyk J, Sulislawski J. Laparoscopic vaginal reconstruction using a sigmoid colonsegment: a preliminary report. J Urol, 2004, 171(6 Pt 2): 2632―2635

doi: 10.1097/01.ju.0000111342.92168.42
Ota H, Tanaka J, Murakami M, Murata M, Fukuda J, Tanaka T, Andoh H, Koyama K. Laparoscopy-assisted Ruge procedure forthe creation of a neovagina in a patient with Mayer-Rokitansky-Küster-Hausersyndrome. Fertil Steril, 2000, 73(3): 641―644

doi: 10.1016/S0015-0282(99)00570-1
Edmonds D K. Congenital malformations of the genital tract and their management. Best Pract Res Clin Obstet Gynaecol, 2003, 17(1): 19―40

doi: 10.1053/ybeog.2003.0356
Wabrek A J, Millard P R, Wilson W B Jr, Pion R J. Creationof a neovagina by the Frank nonoperative method. Obstet Gynecol, 1971, 37(3): 408―413
McIndoe A H, Banniser J B. An operation for the cureof congenital absence of the vagina. JObstet Gynaecol Br Emp, 1938, 45: 490―494
Roberts C P, Haber M J, Rock J A. Vaginal creation for müllerian agenesis. Am J Obstet Gynecol, 2001, 185(6): 1349―1352

doi: 10.1067/mob.2001.119075
Keckstein J, Buck G, Sasse V, Tuttlies F, Ulrich U. Laparoscopic creation ofa neovagina: modified Vecchietti method. Endosc Surg Allied Technol, 1995, 3(2,3): 93―95
Creatsas G, Deligeoroglou E, Makrakis E, Kontoravdis A, Papadimitriou L. Creation of a neovagina followingWilliams vaginoplasty and the Creatsas modification in 111 patientswith Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril, 2001, 76(5): 1036―1040

doi: 10.1016/S0015-0282(01)02836-9
Giannesi A, Marchiole P, Benchaib M, Chevret-Measson M, Mathevet P, Dargent D. Sexuality after laparoscopic Davydov in patients affectedby congenital complete vaginal agenesis associated with uterine agenesisor hypoplasia. Hum Reprod, 2005, 20(10): 2954―2957

doi: 10.1093/humrep/dei152
Liao L, Doyle J, Crouch N S, Creighton S M. Dilation as treatment for vaginal agenesis and hypoplasia: a pilotexploration of benefits and barriers as perceived by patients. J Obstet Gynaecol, 2006, 26(2): 144―148

doi: 10.1080/01443610500443527
Kapoor R, Sharma D K,Singh K J, Suri A, Singh P, Chaudhary H, Dubey D, Mandhani A. Sigmoid vaginoplasty: long-term results. Urology, 2006, 67(6): 1212―1215

doi: 10.1016/j.urology.2005.12.037
Fedele L, Bianchi S, Zanconato G, Raffaelli R. Laparoscopiccreation of a neovagina in patients with Rokitansky syndrome: analysisof 52 cases. Fertil Steril, 2000, 74(2): 384―389

doi: 10.1016/S0015-0282(00)00620-8
Bürger R A, Riedmiller H, Knapstein P G, Friedberg V, Hohenfellner R. Ileocecal vaginal construction. Am J Obstet Gynecol, 1989, 161(1): 162―167
Hendren W H, Atala A. Use of bowel for vaginalreconstruction. J Urol, 1994, 152(2 Pt 2): 752―755
Hensle T W, Reiley E A. Vaginal replacement in childrenand young adults. J Urol, 1998, 159(3): 1035―1038

doi: 10.1016/S0022-5347(01)63831-X
Khen-Dunlop N, Lortat-Jacob S, Thibaud E, Clément-Ziza M, Lyonnet S, Nihoul-Fekete C. Rokitansky syndrome: clinical experienceand results of sigmoid vaginoplasty in 23 young girls. J Urol, 2007, 177(3): 1107―1111

doi: 10.1016/j.juro.2006.11.003
Kwun Kim S, Hoon Park J, Cheol Lee K, Min Park J, Tae Kim J, Chan Kim M. Long-term results in patients after rectosigmoid vaginoplasty. Plast Reconstr Surg, 2003, 112(1): 143―151

doi: 10.1097/01.PRS.0000066169.78208.D4
El-Sayed H M, El-Lamie I K, Ibrahim A M, El-Lamie K I. Vaginal reconstruction with sigmoid colon in vaginal agenesis. Int Urogynecol J Pelvic Floor Dysfunct, 2007, 18(9): 1043―1047

doi: 10.1007/s00192-006-0287-3
Hensle T W, Shabsigh A, Shabsigh R, Reiley E A, Meyer-Bahlburg HF. Sexual functionfollowing bowel vaginoplasty. J Urol, 2006, 175(6): 2283―2286

doi: 10.1016/S0022-5347(06)00337-5
Darai E, Toullalan O, Besse O, Potiron L, Delga P. Anatomic and functional resultsof laparoscopic-perineal neovagina construction by sigmoid colpoplastyin women with Rokitansky’s syndrome. Hum Reprod, 2003, 18(11): 2454―2459

doi: 10.1093/humrep/deg443
Stelling J, Gray M, Davis A, van Lingen B, Reindollar R. Müllerian agenesis:an update. Obstet Gynecol, 1997, 90(6): 1024―1025
Maas S M, Eijsbouts Q A, Hage J J, Cuesta M A. Laparoscopic rectosigmoid colpopoiesis: does it benefit our transsexualpatients? Plast Reconstr Surg, 1999, 103(2): 518―524

doi: 10.1097/00006534-199902000-00023
Ohashi S, Ikuma K, Koyasu Y, Tei K, Kanno H, Akashi A, Haque S M. Laparoscopic reconstructionof vagina using sigmoid autograft. SurgEndosc, 1996, 10(10): 1019―1021

doi: 10.1007/s004649900228
Ling B, Sun M W, Sun F L, Zhang A J, Hu W P, Li J, Huang Q, Ning Z L. Study of operative procedures of laparoscopy and laparoscopicallyassisted sigmoid transplantation for vaginal construction. Zhonghua Fuchanke Zazhi, 2004, 39(5): 319―321 (in Chinese)
Rajimwale A, Furness P D 3rd, Brant W O, Koyle M A. Vaginal constructionusing sigmoid colon in children and young adults. BJU Int, 2004, 94(1): 115―119

doi: 10.1111/j.1464-4096.2004.04911.x
Parsons J K, Gearhart S L, Gearhart J P. Vaginal reconstruction utilizing sigmoid colon: Complicationsand long-term results. J Pediatr Surg, 2002, 37(4): 629―633

doi: 10.1053/jpsu.2002.31623
Cai B, Zhang J R, Xi X W, Yan Q, Wan X P. Laparoscopically assisted sigmoid colonvaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome:feasibility and short-term results. BJOG, 2007, 114(12): 1486―1492

doi: 10.1111/j.1471-0528.2007.01514.x
[1] Zongming Zhang, Zhuo Liu, Limin Liu, Mengmeng Song, Chong Zhang, Hongwei Yu, Baijiang Wan, Mingwen Zhu, Zixu Liu, Hai Deng, Haiming Yuan, Haiyan Yang, Wenping Wei, Yue Zhao. Strategies of minimally invasive treatment for intrahepatic and extrahepatic bile duct stones[J]. Front. Med., 2017, 11(4): 576-589.
[2] Junqing Wang, Lu Zhang, Weize Wu. Current progress on natural orifice transluminal endoscopic surgery (NOTES)[J]. Front Med, 2012, 6(2): 187-194.
[3] Jihui Ai, Pei Zhang, Lei Jin, Yufeng Li, Jing Yue, Ding Ma, Hanwang Zhang. Fertility outcome analysis after modified laparoscopic microsurgical tubal anastomosis[J]. Front Med, 2011, 5(3): 310-314.
[4] LU Bangyu, HUANG Yubin, CAI Xiaoyong, HUANG Fei, LU Wenqi, XU Jing, LIU Zujun, YAN Yihe, LI Jianjun, LI Jie. A novel method for reconstruction in laparoscopic pancreaticoduodenectomy: an experience of 13 cases[J]. Front. Med., 2007, 1(4): 369-372.
[5] JIANG Hongchi, ZHAO Xianqi, GAO Yue. Development of splenic surgery in China[J]. Front. Med., 2007, 1(2): 126-129.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed