Sexuality After Sigmoid Vaginoplasty in Patients With Mayer-Rokitansky-Kuster-Hauser Syndrome

Laparoscopic vaginoplasty using a single peritoneal flap: 10 years of experience in the creation of a neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome

“…The catheter was removed a mean of 2.1 AE 1.3 days after surgery, owing to 3 cases of transient urinary retention. Prolapse of the neovagina, which has been described with other techniques (7,21), was not observed in this study, possibly because double suturing of the pelvic peritoneum was systematically performed. Similar to outcomes in previous studies (10,22), laparoscopic vaginoplasty using an SPF allowed spontaneous squamous epithelization of the neovagina within 6 months after surgery.…”

“…If patients do not consent to using vaginal dilation, or discontinue it, various surgical techniques can be used to create a neovagina. The 3 most frequently used surgical techniques for vaginal reconstruction are: laparoscopic sigmoid vaginoplasty (7); the laparoscopic Vecchietti technique (8); and Davydov's laparoscopic technique (9,10).…”

Intestinal Vaginoplasty Revisited: A Review of Surgical Techniques, Complications, and Sexual Function

“…These studies reported FSFI scores comparable to scores of "normal" women [63,64]. In a study investigating sexual function after sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome, FSFI scores were found to be comparable with those of "normal" women, but dyspareunia scores were higher [49]. Considering these findings, additional research pertaining to quality of life and sexual health using validated and standardized questionnaires appears justified.…”

“…In 85.7% of patients (irrespective of age), sexual activity was satisfactory. Female Sexual Function Index (FSFI) scores were reported in only a few studies and varied between 24.8, 25.3, 26.1, and 28.9 (range: 11.5-35.7) [32,39,46,[48][49][50]. In patients with an ileumderived neovagina, reported sexual activity rates were 56%, 88.8%, and 100%, while a 100% sexual satisfaction rate was reported consistently [21][22][23].…”

“…However, these exceptionally high satisfaction rates and the absence of standardized measures cast some doubt on the validity and reproducibility of these results. In only a few studies was sexual function examined with the FSFI [46,[48][49][50][56][57][58][59][60]62]. These studies reported FSFI scores comparable to scores of "normal" women [63,64].…”