Vaginal anatomical and functional outcomes of 49 patients with Mayer-Rokitansky-Küster-Hauser syndrome undergoing modified laparoscopic sigmoid vaginoplasty
- Author:
Hai-ping LI
1
;
Xiao-li SUN
1
;
Gui-ying HU
1
;
Chun-mei ZHAO
1
;
Xiao-nan LI
1
;
Xi-ping LUO
1
Author Information
- Publication Type:Journal Article
- Keywords: MRKH syndrome; vaginoplasty; FSFI
- From: Chinese Journal of Practical Gynecology and Obstetrics 2019;35(08):905-909
- CountryChina
- Language:Chinese
- Abstract: OBJECTIVE: To investigate the anatomy and sexual outcomes of patients with Mayer-Rokitansky-KüsterHauser(MRKH)syndrome undergoing modified laparoscopic sigmoid vaginoplasty.METHODS: From January 2010 to January 2017,49 MRKH syndrome patients underwent the modified laparoscopic sigmoid vaginoplasty in Guangdong Women and Children's Hospital.Analysis of the anatomy and the sexual outcomes of the neovagina was conducted.The sexual functional outcomes were assessed using the Female Sexual Function Index(FSFI)questionnaire.45 cases of similar-aged women with normal sexual life were selected as controls.RESULTS: Modified laparoscopic sigmoid vaginoplasty was successfully performed in all 49 patients.The mean operative time and intraoperative blood loss was(186±53.7)minutes and(63.8±10.6)mL respectively.The mean length and width of the neovagina at the 6-month followup examination was(12.9±1.56)cm and(3.32±0.33)cm respectively.FSFI score between the MRKH group and the control group:Desire[(4.40±0.59)vs.(4.04±0.71),P<0.05],Arousability[(4.27±0.61)vs.(4.10±0.73),P>0.05],Lubrication[(4.90 ± 0.58)vs.(4.67 ± 0.79),P>0.05],Orgasm[(4.29 ± 0.70)vs.(4.20 ± 0.79),P>0.05],Satisfaction[(4.51 ± 0.82)vs.(4.45 ± 0.91),P>0.05],Comfort[(4.71 ± 0.81)vs.(4.78 ± 0.72),P>0.05],Total score[(27.08 ± 2.83)vs.(26.53 ± 2.98),P>0.05].CONCLUSION: Modified laparoscopic sigmoid vaginoplasty is an effective and safe technique for MRKH syndrome patients,which provides a nearly normal sexual function for patients with MRKH syndrome.
