Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser syndrome

Carrard, Caroline; Chevret‐Méasson, Marie; Lunel, A.; Raudrant, D.

doi:10.1016/j.fertnstert.2011.12.015

Cited by 47 publications

(31 citation statements)

References 27 publications

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“…As in most studies, no decrease in FSFI total score was observed in our study 16, 33, 39, 40. No signs of sexual frustration were reported in women with a neovagina, although some studies have reported this occurrence 23, 37.…”

Section: Discussionsupporting

confidence: 52%

“…Previous studies have evaluated sexual satisfaction based mainly on neovagina length, and they have focused less on other psychosocial aspects that are important for sexual life 6, 23, 32. Although the longest neovaginas are created by bowel vaginoplasty, these patients have the largest number of sexual problems and more frequent vaginal discharge 6, 33. It is impossible to precisely define an adequate vagina length for satisfactory sex.…”

Section: Discussionmentioning

confidence: 99%

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Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

et al. 2017

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IntroductionAdequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible.AimTo assess the psychosexual effect of vaginal reconstruction using the laparoscopic Vecchietti technique in patients with MRKHS.MethodsForty-two patients with MRKHS who underwent laparoscopic Vecchietti vaginoplasty were included. Their partners also were interviewed. A control group of 45 age-matched, childless, sexually active women were examined during the same period.Main Outcome MeasuresA gynecologic examination was performed to determine the anatomic outcome. Psychosexual function was evaluated with the Female Sexual Distress Scale–Revised (FSDS-R), the Female Sexual Function Index (FSFI), and a semistructured interview. Genital self-image was evaluated using the Female Genital Self-Image Scale (FGSIS).ResultsAverage neovagina length (7.0 ± 9.6 cm) in the MRKHS group was significantly shorter than the vaginal length in the control group (9.3 ± 2.5 cm). Women with a neovagina reported satisfactory sexual function (FSFI score = 29 ± 2.7) that was not significantly different from the control group (P < .05); however, they also had significantly higher levels of distress (FSDS-R score = 14.5 ± 6.5) and were not satisfied with their genitals (FGSIS score = 22.0 ± 2.4) compared with the control group.ConclusionSexual function in women with MRKHS can be restored successfully by vaginoplasty; however, they have higher rates of distress and are less satisfied with their genitals.Pastor Z, Fronĕk J, Nováčková M, Chmel R. Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty. Sex Med 2017;5:e106–e113.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

et al. 2017

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“…The reported advantages of sigmoid colon vaginoplasty are a larger diameter and longer segments of vascularized intestine, the option of using a Pfannenstiel abdominal incision, and a shorter operation time . However, neovaginal prolapse and graft shrinkage rates continue to be high despite appropriate promontory fixation . Sigmoid vaginoplasty might be more preferred in patients with isolated vaginal agenesis .…”

Section: Discussionmentioning

confidence: 99%

“…However, neovaginal prolapse and graft shrinkage rates continue to be high despite appropriate promontory fixation . Sigmoid vaginoplasty might be more preferred in patients with isolated vaginal agenesis . A comparison of jejunum and sigmoid colon vaginal reconstruction techniques would be important for determining the relative advantages of these techniques.…”

Section: Discussionmentioning

confidence: 99%

Sexual Function and Long-Term Results Following Vaginal Reconstruction with Free Vascular Jejunal Flap

Akar¹,

Özkan²,

Özkan³

et al. 2013

The Journal of Sexual Medicine

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Introduction Sexual adjustment and long-term results following vaginal reconstruction with free vascular jejunal flap are not well known. Aims The study aims to investigate sexual adjustment and long-term results among patients who underwent vaginal reconstruction with free vascular jejunal flap. Methods A total of 34 women, aged 16–31 years (mean 23.5), who underwent vaginal reconstruction with a vascular jejunal flap between 2005 and 2011 were evaluated. Indications for reconstruction included the following: Mayer Rokitansky Kuster Hauser syndrome (29 patients), isolated vaginal agenesis (2 patients), androgen insensitivity syndrome (2 patients), and (1) history of gynecologic-oncologic surgery. Main Outcome Measures The study evaluates the perioperative results, complications, satisfaction with sexual function, length and width of the neovagina. Results All of the surgeries were completed without any intraoperative complications. Three patients required reoperation because of postoperative venous compromise in the grafts. The flap success rate was 100%, and no infection was observed for any case. The mean follow-up was 50 months (between 20 and 87 months). The mean vaginal depth and diameter were satisfactory for all cases. Postoperatively, six patients complained of jejunal hypersecretion, one patient complained of mucosal prolapse, and one patient complained of vaginal constriction. The neovaginal prolapse was repaired via minor surgery. Twenty-seven were married and sexually active. Twenty patients completed the questionnaire on sexual function. Sexual function was assessed using the Female Sexual Function Index (FSFI). Eleven patients were satisfied with their sexual lives after surgery (FSFI scores ≥ 25). Conclusion Based on our results, satisfactory sexual function was achieved using the free jejunal vascular flap.

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“…The best standardized treatment has not been reported. With the recent development of laparoscopy, the performance of Davydov's laparoscopic technique [5,6], laparoscopic sigmoid vaginoplasty [7], and the laparoscopic Vecchietti technique [8] has become increasingly common. In comparison with laparoscopic sigmoid vaginoplasty, Davydov's laparoscopic technique may be a more feasible and effective approach to create a neovagina [9].…”

Section: Introductionmentioning

confidence: 99%

Comparison of two laparoscopic peritoneal vaginoplasty techniques in patients with Mayer–Rokitansky–Küster–Hauser syndrome

Zhao

Wang

et al. 2015

Int Urogynecol J

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Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser syndrome

Cited by 47 publications

References 27 publications

Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

Sexual Function and Long-Term Results Following Vaginal Reconstruction with Free Vascular Jejunal Flap

Comparison of two laparoscopic peritoneal vaginoplasty techniques in patients with Mayer–Rokitansky–Küster–Hauser syndrome

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