Vaginal vault prolapse after nonsurgical and surgical treatment of MAAdullerian agenesis.

Abstract:

BACKGROUND:Women with Mayer-Rokitansky-Küster-Hauser syndrome fail to develop müllerian ducts, present with primary amenorrhea, and an absent or rudimentary uterus and vagina. After creation of a neovagina, vaginal vault prolapse may occur because of lack of support to the artificially created vagina. CASES:The first patient presented with vaginal vault prolapse 10 years after her vagina was mechanically dilated. The second patient presented with vaginal vault prolapse 27 years after a McIndoe procedure. CONCLUSION:Women with Mayer-Rokitansky-Küster-Hauser syndrome with an artificially created neovagina by dilatation or surgical procedure with a graft are at risk for vaginal vault prolapse. They can be successfully treated with abdominal sacrocolpopexy and paravaginal repair.

journal_name

Obstet Gynecol

authors

Schaffer J,Fabricant C,Carr BR

doi

10.1016/s0029-7844(02)01969-5

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

947-9

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

pii

S0029784402019695

journal_volume

99

pub_type

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