Prolapse and sexual function 8 years after neovagina according to Shears: a study of 43 cases with Mayer–von Rokitansky–Küster–Hauser syndrome

Abstract

The neovagina according to Shears is a valuable surgical option with good sexual and anatomical outcome 8 years after therapy.

Magnetic resonance imaging of vaginal support structure before and after Vecchietti procedure in women with Mayer–Rokitansky–Küster–Hauser syndrome

“…Swenson et al described a sacrospinous ligament suspension after recurrent sigmoid neovagina prolapse (18). Kuhn et al showed 11 out of 43 women with asymptomatic grade I cystocele, rectocele or apical descent after neovagina according to Shears eight years ago (15). In our institution, we performed laparoscopic sacrocolpopexy in two cases of prolapse after self-dilatation (25 years ago) and sigmoid vaginoplasty (24 years ago) (13).…”

Neovagina creation methods and their potential impact on subsequent uterus transplantation: a review

“…Long‐term follow‐up shows physiological epithelialisation of the neovagina (80%), a persisting sufficient vaginal depth (96%), and the absence of contractures (91%) in patients receiving this treatment . The need for lifelong dilation to avoid secondary stenosis and the risk of rectoceles and cystoceles constitute disadvantages of this method . With regard to subsequent uterus transplantation, the Wharton–Sheares–George technique appears suitable, particularly because it creates a natural neovaginal axis and obviates the need for tissue transplantation.…”

Ambivalent Ambiguity? : A study of how women with 'atypical' sex development make sense of female embodiment

“…However, it has also been noted that success is distinguished in a range of ways in such evaluations (Liao et al, 2006). In some studies functional success is defined as 'satisfaction with sex', which also includes 'non-genital sex' (Callens et al, 2014), or by using the Female Sexual Functional Index (FSFI), which measures desire, arousal, lubrication, orgasm, satisfaction, and comfort (Kuhn et al, 2013;Morcel et al, 2013). Other studies focus on anatomical success, often defined in terms of the achievement of a vaginal length of 7 cm or more (for an overview, see Callens et al, 2014).…”