Sexual life of women with Mayer-Rokitansky-Küster-Hauser syndrome after laparoscopic Vecchietti vaginoplasty: Case series

Abstract

MRKH syndrome is characterized by uterine and vaginal aplasia. Typically, presentation is primary amenorrhea with normal secondary sexual characters, blind vagina, absence of uterus and cervix on ultrasonography with normal 46 XX karyotype. Mayer- Rokitansky –Kuser –Hauser syndrome (Rokitansky syndrome) is the frequent indication for neovaginoplasty. In this case series we describe three patient who came to us with different clinical presentation. Patients were seen at the Hospital with primary amenorrhea and fully developed secondary sexual characters. A clinical follow-up protocol, including the use of high-resolution image studies was used for diagnosis. Diagnostic procedures and current medical approaches to the treatment of MRKH are discussed, including psychological advisory, surgical procedures. Laparoscopic Vecchietti operation by the use of acrylic olive is a safe procedure to create a neovagina, which guarantees good quality of sexual life with high satisfaction for patient. Advantage of the Laparoscopy Vecchietti procedure are fast achievement of a functional vagina, absence of large scars, better patient tolerance.