Prolapse and sexual function 8 years after neovagina according to Shears: a study of 43 cases with Mayer-von Rokitansky-Küster-Hauser syndrome.
- Kuhn A Department of Gynaecology, Frauenklinik, University Hospital and University of Bern, Bern, Switzerland. annette.kuhn@insel.ch
- Neukomm C
- Dreher EF
- Imobersteg J
- Mueller MD
- 2012-11-20
Published in:
- International urogynecology journal. - 2013
46, XX Disorders of Sex Development
Adolescent
Adult
Congenital Abnormalities
Female
Follow-Up Studies
Gynecologic Surgical Procedures
Humans
Incidence
Longitudinal Studies
Mullerian Ducts
Pelvic Organ Prolapse
Reconstructive Surgical Procedures
Retrospective Studies
Sexual Dysfunction, Physiological
Treatment Outcome
Vagina
Young Adult
English
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.
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.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1007/s00192-012-1980-z
- PMID 23160870
- Persistent URL
- https://sonar.ch/global/documents/138816
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