Failure of the embryonic Mullerian duct to develop leads to
the Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), which is characterized by
congenital insufficiency of the upper vaginal wall and a minimal to nonexistent
uterus. Infertility, primary amenorrhea, and difficulties participating in
coital activity are among symptoms these patients present with. Although IVF
and surrogacy are required for conception, McIndoe Vaginoplasty can start the
sexual life and provide coital satisfaction. This study's main objective was to
develop a neovagina that would promote a fulfilling sexual life. Seven patients
with MRKH syndrome underwent modified McIndoe vaginoplasty with split thickness
skin grafts over a period of three years, and these patients were followed up
for two years. All of the patients received in-depth explanations about the
procedure, the dangers involved, and the anticipated results. All of the
patients had in-depth inspections. The functional outcomes were satisfactory in
all seven patients. There were no significant problems or the requirement for
blood transfusions. The average vaginal length and breadth were 7-9 cm and 3-4
cm, respectively. The donor sites on every patient healed flawlessly. Modified
McIndoe Vaginoplasty is a safe and effective procedure to achieve sexual
fulfillment in individuals with vaginal agenesis, with no donor site issues, if
carried out with competent surgical abilities.
Author(s) Details:
Atul K. Gowardhan,
Department of General Surgery, Bharatratna Atalbihari Vajpayee
Medical College and Hospital, Pune, India.
Priya M. Bagade,
MIMER Medical College and BSTR Hospital, Talegaon, Pune, India.
Please see the link here: https://stm.bookpi.org/CPMS-V5/article/view/7657
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