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Obstetrics & Gynecology:
Case Reports

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

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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.

© 2002 The American College of Obstetricians and Gynecologists


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