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

Abstract:

INTRODUCTION AND HYPOTHESIS:To investigate sexual and anatomical outcome after Shears neovagina in patients with Mayer-von Rokitansky-Kuster-Hauser syndrome (MRKH). METHODS:Forty-three consecutive patients with MRKH syndrome underwent surgery creating a neovagina according to Shears. Follow-up was 8 years. Sexual function was assessed using the Female Sexual Function Index (FSFI) as patient reported outcome; anatomical results were assessed measuring anterior, posterior and apical prolapse using the ICS Pelvic Organ Prolapse Score (ICS-POP Score). Pelvic floor contraction was measured applying the Oxford grading system. RESULTS:Thirty-seven of the patients were regularly sexually active and filled in the FSFI; mean total FSFI was 27.2 (range 24-28). No significant prolapse of the neovagina was noted, 11 patients had a grade I cystocele, rectocele or apical descent that was asymptomatic. Oxford grading of the pelvic floor contraction was 4 in median (range 2-5). CONCLUSION:The neovagina according to Shears is a valuable surgical option with good sexual and anatomical outcome 8 years after therapy.

journal_name

Int Urogynecol J

authors

Kuhn A,Neukomm C,Dreher EF,Imobersteg J,Mueller MD

doi

10.1007/s00192-012-1980-z

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

1047-52

issue

6

eissn

0937-3462

issn

1433-3023

journal_volume

24

pub_type

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