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Abstract
Objective: To evaluate the technical feasibility and anatomical and functional outcomes of laparoscopic sigmoid colon vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser syndrome
Methods: A total of 5 patients with MRKH syndrome was treated at our hospital from February 2017 to June 2018. Laparoscopic sigmoid colon vaginoplasty was perfomed in all patients.
Results: The mean operating time was 204 minutes and the mean hospital stay was 8,8 days. The perioperative complications were one case with blood transfusion and one case with adjunctive incision infection. All patients had a neovagina with good vaginal orientation, lubrication and adequate length and breadth. Introital stenosis occurred in two women (1 month later). Five patients subsequently had intercourse and 3 women were satisfied with the surgery and subsequent sexual activity.
Conclusions: Laparoscopic simoid colon vaginoplasty is an effective methods of treatment of patients with MRKH syndrome. Both the anatomical and functional outcomes are satisfactory.
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