Δημοσίευση

Successful isthmo-neovagina anastomosis after Davydov's colpopoiesis in Mayer-Rokitansky-Küster-Hauser syndrome patients with a functional rudimentary uterine horn.

ΤίτλοςSuccessful isthmo-neovagina anastomosis after Davydov's colpopoiesis in Mayer-Rokitansky-Küster-Hauser syndrome patients with a functional rudimentary uterine horn.
Publication TypeJournal Article
Year of Publication2015
AuthorsGrimbizis, G. F., Mikos T., Papanikolaou A., Theodoridis T., & Tarlatzis B. C.
JournalJ Minim Invasive Gynecol
Volume22
Issue1
Pagination142-50
Date Published2015 Jan
ISSN1553-4669
Λέξεις κλειδιά46, XX Disorders of Sex Development, Adolescent, Anastomosis, Surgical, Cohort Studies, Coitus, Congenital Abnormalities, Female, Humans, Laparoscopy, Menstruation, Mullerian Ducts, Reconstructive Surgical Procedures, Surgically-Created Structures, Treatment Outcome, Uterus, Vagina, Young Adult
Abstract

The aim of these case reports is to present the feasibility of isthmo-neovagina anastomosis after Davydov's colpopoiesis in patients with Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) with a rudimentary uterine horn. Ten MRKH patients were treated surgically with laparoscopic Davydov's vaginoplasty between 2006 and 2012. Two of these patients were found to have a functional rudimentary uterine horn. These patients underwent a 2-step surgical intervention: (1) Davydov's colpopoiesis with a combined laparoscopic and perineal approach and (2) isthmo-neovagina anastomosis with laparotomy in the 2 cases with a uterine horn in a second surgical step 4 and 6 months after the initial procedure, respectively. The main outcome measures were the perioperative and postoperative details, the vaginal length during follow-up, the postoperative initiation of intercourse, and the postoperative menstrual function. Isthmo-neovagina anastomosis was uneventful, and there were no early postoperative complications. The mean hospitalization duration was 9.5 days. Anastomosis was successful in both patients. The mean follow-up was 42 months, and the mean vaginal length was measured 9.5 cm; both patients reported normal intercourse and normal menstrual function. Anatomic restoration of the genital tract in these patients appears to have been successful and led to functional menstruation and restitution of the patients' sex life.

DOI10.1016/j.jmig.2014.09.003
Alternate JournalJ Minim Invasive Gynecol
PubMed ID25204254

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