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Treatment for Prolapse of the Sigmoid Neovagina in Mayer-Rokitansky-Kuster-Hauser Syndrome

Yokomizo, Rei MD; Murakami, Takashi MD; Naitou, Hiroo MD; Yamada, Atsushi MD

Case Reports

BACKGROUND Colpopoiesis using the sigmoid colon may be used in treatment of patients with Mayer-Rokitansky-Kuster-Hauser syndrome. Prolapse of a sigmoid neovagina is rare and its treatment is not yet standardized.

CASES Two patients developed severe prolapse of a neovagina derived from the sigmoid colon. One patient underwent resection of the redundant sigmoid and an abdominal suspension procedure; however, the prolapse has recurred. The other patient was treated by removal of the entire sigmoid artificial vagina. An alternative neovagina was reconstructed with a pudendal thigh flap. She has no signs of recurrent prolapse and is satisfied with sexual intercourse.

CONCLUSION Replacement therapy by a connected skin graft may be an excellent optional method as a radical treatment for prolapse of a sigmoid neovagina.

Among two patients with prolapse of a sigmoid neovagina, one patient who underwent reconstruction surgery using a pudendal thigh flap has been making satisfactory progress.

Department of Obstetrics and Gynecology, Gastrointestinal and Colorectal Surgery, and Plastic and Reconstructive Surgery, Tohoku University School of Medicine, Sendai, Japan

Address reprint requests to: Rei Yokomizo, MD, Tohoku University School of Medicine, Department of Obstetrics and Gynecology, 1-1 Seiryou-mach, Aobaku, Sendai, 980-8574, Japan; E-mail: yokomizo@ob-gy.med.tohoku.ac.jp.

Received December 18, 2001. Received in revised form February 26, 2002. Accepted March 14, 2002.

© 2002 The American College of Obstetricians and Gynecologists