Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) is a rare disease characterized by total or partial vagina agenesis, karyotype 46, XX with normal secondary sexual characters. Still, it is the second leading cause of pr...Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) is a rare disease characterized by total or partial vagina agenesis, karyotype 46, XX with normal secondary sexual characters. Still, it is the second leading cause of primary amenorrhea. The absence of obvious signs and symptoms often causes the syndrome to be diagnosed only after puberty. The case presented here highlights exactly this difficulty of early diagnosis, which meets the objective of the study, and is precisely to provide reliable material that facilitates the diagnosis and management of patients with MRKH syndrome.展开更多
The feasibility and clinical therapeutic effects of laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome(MRKHs)were explored.The records of 11 MRKHs patients who underwent laparoscop...The feasibility and clinical therapeutic effects of laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome(MRKHs)were explored.The records of 11 MRKHs patients who underwent laparoscopic sigmoid vaginoplasty from 2003 to 2005 were reviewed,and long-term results were evaluated by follow-up.The mean operating time was 234 min(range,130–300 min),the mean hospital stay was 9.4 days(range,7–15 days),and the mean hemoglobin drop was 1.91 g/dL(range,1.6–3.2 g/dL).A functional neovagina was created measuring 11 to 14 cm in length and twofingers in breadth in all patients.No introitus stenosis was observed.No intra-operative or postoperative bowel complication occurred.At the 3rd postoperative month,thefirst intercourse began.One patient was lost to follow-up.One had no intercourse and was required to wear vaginal mold occasionally.None of the other nine women(100%)complained of local irritation or dyspar-eunia.They were satisfied with their sexual life.The cosmetic results were excellent.The laparoscopic sigmoid vaginoplasty realizes to make a functional neovagina.The main advantage is its minimal invasiveness.It is an ideal procedure for MRKHs patients.展开更多
文摘Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) is a rare disease characterized by total or partial vagina agenesis, karyotype 46, XX with normal secondary sexual characters. Still, it is the second leading cause of primary amenorrhea. The absence of obvious signs and symptoms often causes the syndrome to be diagnosed only after puberty. The case presented here highlights exactly this difficulty of early diagnosis, which meets the objective of the study, and is precisely to provide reliable material that facilitates the diagnosis and management of patients with MRKH syndrome.
文摘The feasibility and clinical therapeutic effects of laparoscopic sigmoid vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome(MRKHs)were explored.The records of 11 MRKHs patients who underwent laparoscopic sigmoid vaginoplasty from 2003 to 2005 were reviewed,and long-term results were evaluated by follow-up.The mean operating time was 234 min(range,130–300 min),the mean hospital stay was 9.4 days(range,7–15 days),and the mean hemoglobin drop was 1.91 g/dL(range,1.6–3.2 g/dL).A functional neovagina was created measuring 11 to 14 cm in length and twofingers in breadth in all patients.No introitus stenosis was observed.No intra-operative or postoperative bowel complication occurred.At the 3rd postoperative month,thefirst intercourse began.One patient was lost to follow-up.One had no intercourse and was required to wear vaginal mold occasionally.None of the other nine women(100%)complained of local irritation or dyspar-eunia.They were satisfied with their sexual life.The cosmetic results were excellent.The laparoscopic sigmoid vaginoplasty realizes to make a functional neovagina.The main advantage is its minimal invasiveness.It is an ideal procedure for MRKHs patients.
