Sigmoid vaginoplasty in Mayer-Rokitansky-Kuster-Hauser syndrome

Case contributed by Alexander Bode , 16 Oct 2023
Diagnosis certain
Changed by Arlene Campos, 18 Oct 2023
Disclosures - updated 9 Jun 2023: Nothing to disclose

Updates to Case Attributes

Title was changed:
Sigmoid Vaginoplastyvaginoplasty in MRKH
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The patient reported a history of Mayer-Rokitansky-Kuster-Hauser syndrome, for which they underwent a sigmoid vaginoplasty many years prior.

Sigmoid vaginoplasty is a treatment for sexual dysfunction due to MRKH when nonsurgical techniques such as vaginal dilation have failed. Sigmoid vaginoplasty involves the interposition of the sigmoid colon in the upper vagina to help restore sexual function. Bowel vaginoplasty has the distinct advantage of being less prone to stricture, and natural lubrication from bowel secretions.

Some late complications related to bowel vaginoplasty can include colitis, faeculent discharge, and malignant degeneration in rare cases.

  • -<p>The patient reported a history of Mayer-Rokitansky-Kuster-Hauser syndrome for which they underwent a sigmoid vaginoplasty many years prior. </p><p>Sigmoid vaginoplasty is a treatment for sexual dysfunction due to MRKH when nonsurgical techniques such as vaginal dilation have failed. Sigmoid vaginoplasty involves the interposition of sigmoid colon in the upper vagina to help restore sexual function. Bowel vaginoplasty has the distinct advantage of being less prone to stricture, and natural lubrication from bowel secretions. </p><p>Some late complications related to bowel vaginoplasty can include colitis, faeculent discharge, and malignant degeneration in rare cases. </p>
  • +<p>The patient reported a history of Mayer-Rokitansky-Kuster-Hauser syndrome, for which they underwent a sigmoid vaginoplasty many years prior.</p><p>Sigmoid vaginoplasty is a treatment for sexual dysfunction due to MRKH when nonsurgical techniques such as vaginal dilation have failed. Sigmoid vaginoplasty involves the interposition of the sigmoid colon in the upper vagina to help restore sexual function. Bowel vaginoplasty has the distinct advantage of being less prone to stricture and natural lubrication from bowel secretions.</p><p>Some late complications related to bowel vaginoplasty can include colitis, faeculent discharge, and malignant degeneration in rare cases.</p>
Status changed from pending review to published (public).
Published At was set to 2023-10-18T01:28:08.943Z.

References changed:

  • 1. Amadou Magagi I, Adamou H, Oumarou Garba S et al. Sigmoid Vaginoplasty in Mayer-Rokitansky-Kuster-Hauser Syndrome. Gynecol Surg. 2020;17(1):1-6. <a href="https://doi.org/10.1186/s10397-020-01079-y">doi:10.1186/s10397-020-01079-y</a>
  • Amadou Magagi, I., Adamou, H., Oumarou Garba, S. et al. Sigmoid vaginoplasty in Mayer-Rokitansky-Kuster-Hauser syndrome. Gynecol Surg 17, 11 (2020). https://doi.org/10.1186/s10397-020-01079-y

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Sigmoid Vaginoplasty in MRKH
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Sigmoid vaginoplasty in MRKH
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Updates to Study Attributes

Findings was changed:

A multilobulated structure similar in morphology to the colon is seen in the expected location of the Uterusuterus and upper vagina. An anastomotic suture is seen in the proximal sigmoid colon from the site of graft harvest.

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