Functional and anatomic results after creation of a neovagina according to Wharton-Sheares-George in patients with Mayer-Rokitansky-K¨¹ster-Hauser syndrome¡ªlong-term follow-up

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• 作者：Katharina Walch ; M.D.^a ; Eleen Kowarik ; M.D.^a ; Katharina Leithner ; M.D.^b ; Theresa Schä ; tz ; M.D.^c ; Daniela Dö ; rfler ; M.D.^a ; René ; Wenzl ; M.D.^a ; ^{rene.wenzl@meduniwien.ac.at}
• 关键词：Wharton-Sheares-George ; Mayer-Rokitansky-Kü ; ster-Hauser (MRKH) syndrome ; neovagina ; sexual function ; quality of life
• 刊名：Fertility and Sterility
• 出版年：2011
• 出版时间：August, 2011
• 年：2011
• 卷：96
• 期：2
• 页码：492-497.e1
• 全文大小：499 K

文摘

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Objective

To evaluate the long-term outcomes and degree of satisfaction after neovaginoplasty according to Wharton-Sheares-George in women with Mayer-Rokitansky-K¨¹ster-Hauser syndrome.

Design

Open, monocentric follow-up study.

Setting

University hospital and referral center for pediatric and adolescent gynecology.

Patient(s)

Ten patients with Mayer-Rokitansky-K¨¹ster-Hauser syndrome with neovaginas created according to Wharton-Sheares-George 3 to 77 months ago.

Intervention(s)

Gynecologic follow-up examination, including vaginal swab, bacterial culture, Papanicolaou smear, hybrid capture test for human papillomavirus typing, biopsy, pelvic ultrasound, and 2 questionnaires concerning global quality of life and degree of sexual satisfaction.

Main Outcome Measure(s)

Satisfaction with sexual function, quality of life, length and width of neovagina, structure of vaginal epithelium, and type of bacterial colonization.

Result(s)

Functional long-term follow-up results showed a high subjective degree of general well-being and sexual satisfaction in affected women. A satisfactory neovaginal length (mean, 8.3 ¡À 1.06 cm; range, 7-10 cm) and width (mean, 3.3 ¡À 0.5 cm; range, 2.5-4 cm) was obtained. As revealed by smears and biopsy, the neovagina resembled a natural vagina with regard to type of bacterial colonization and structure of epithelium.

Conclusion(s)

The goal of any method of creating a neovagina is to provide the patient the possibility to have satisfactory sexual intercourse and to enhance well-being and quality of life. These aims can be achieved by creating a neovagina according to Wharton-Sheares-George.