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TREATMENT OF THE MAYER-ROKITANSKY-KUSTER-HAUSER SYNDROME IN BANGLADESH: RESULTS OF 10 TOTAL VAGINAL REPLACEMENTS WITH SIGMOID COLON AT A MISSIONARY HOSPITAL

1999; Lippincott Williams & Wilkins; Volume: 162; Issue: 3 Part 2 Linguagem: Inglês

10.1016/s0022-5347(01)68099-6

1527-3792

Carmine Del Rossi, Anna Attanasio, Vincenzo Domenichelli, Roberto De Castro,

Female Genital Mutilation/Cutting Issues

No AccessJournal of UrologyPapers Presented at Annual Meeting of the Section on Urology, American Academy of Pediatrics; San Francisco, California; October 17-19, 1998: Reconstruction1 Sep 1999TREATMENT OF THE MAYER-ROKITANSKY-KUSTER-HAUSER SYNDROME IN BANGLADESH: RESULTS OF 10 TOTAL VAGINAL REPLACEMENTS WITH SIGMOID COLON AT A MISSIONARY HOSPITAL CARMINE DEL ROSSI, ANNA ATTANASIO, VINCENZO DOMENICHELLI, and ROBERTO DE CASTRO CARMINE DEL ROSSICARMINE DEL ROSSI , ANNA ATTANASIOANNA ATTANASIO , VINCENZO DOMENICHELLIVINCENZO DOMENICHELLI , and ROBERTO DE CASTROROBERTO DE CASTRO View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)68099-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report our experience with treating the Mayer-Rokitansky-Kuster-Hauser syndrome in a developing country. The operations were performed by a pediatric surgical team at a missionary hospital in Khulna, Bangladesh. Materials and Methods: From 1995 to 1998, 10 young women with the Mayer-Rokitansky-Kuster-Hauser syndrome underwent complete vaginal replacement. In 4 patients the abnormality was discovered after marriage at the initial sexual approach and, thus, the husband abandoned 3. In 4 of the 10 cases the diagnosis was suspected because of absent menstruation. A physician made the diagnosis in only 2 cases. Preoperatively abdominal ultrasound in 3 patients showed a hypoplastic uterus in all and a right solitary pelvic kidney in 1. In all 10 women a neovagina was created using a 14 cm. segment of sigmoid colon. Two weeks postoperatively patients were taught to dilate and irrigate the neovagina. Results: A minimum of 1 year of followup is available in 7 of the 10 patients. The vagina had a good appearing introitus. Mucous production significantly decreased 3 to 4 months after the operation. Two patients already had an active sexual life. The remaining 3 patients underwent surgery during the last mission and they had no complications 6 months postoperatively. Conclusions: Our experience shows the feasibility of treating patients with a severe abnormality in a hospital with basic facilities in one of the poorest countries in the world. References 1 : Intestinal vaginoplasty for congenital absence of the vagina. J. Ped. Surg.1992; 27: 885. Crossref, Medline, Google Scholar 2 : The formation of an artificial vagina without operation. Amer. J. Obst. Gynec.1938; 35: 1053. Crossref, Google Scholar 3 : The treatment of congenital absence and obliterative conditions of the vagina. Brit. J. Plast. Surg.1950; 2: 254. Medline, Google Scholar 4 : Use of bowel for vaginal reconstruction. J. Urol.1994; 152: 752. Link, Google Scholar 5 : Pediatric surgical missions in Bangladesh. Ped. Surg. Int.1996; 11: 570. 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Google Scholar From Saint Mary's Sick Assistance Center, Khulna, Bangladesh, and Division of Pediatric Surgery, Azienda Ospedaliera, Parma, European Institute of Oncology, Milan and Department of Pediatric Surgery, Bologna University Medical School, Bologna, Italy© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited by Kim J, Na W, Cho J, Ahn E, Kim E, Song I, Han E, Lee D, Park B, Park Y and Kim B (2021) Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic techniqueMedicine, 10.1097/MD.0000000000027042, VOL. 100, NO. 35, (e27042) Shrime M, Sleemi A and Ravilla T (2014) Charitable Platforms in Global Surgery: A Systematic Review of their Effectiveness, Cost-Effectiveness, Sustainability, and Role TrainingWorld Journal of Surgery, 10.1007/s00268-014-2516-0, VOL. 39, NO. 1, (10-20), Online publication date: 1-Jan-2015. Gatti C, Del Rossi C, Lombardi L, Caravaggi F, Casolari E and Casadio G (2010) Sexuality and Psychosocial Functioning in Young Women After ColovaginoplastyJournal of Urology, VOL. 184, NO. 4S, (1799-1803), Online publication date: 1-Oct-2010. de Sousa Marques H, dos Santos F, Lopes-Costa P, dos Santos A and da Silva B (2008) Creation of a neovagina in patients with Rokitansky syndrome using peritoneum from the pouch of Douglas: an analysis of 48 casesFertility and Sterility, 10.1016/j.fertnstert.2007.07.1321, VOL. 90, NO. 3, (827-832), Online publication date: 1-Sep-2008. Borkowski A, Czaplicki M and Dobronski P (2008) Twenty years of experience with Krzeski's cystovaginoplasty for vaginal agenesis in Mayer-Rokitansky-Küster–Hauser syndrome: anatomical, histological, cytological and functional resultsBJU International, 10.1111/j.1464-410X.2008.07520.x, VOL. 101, NO. 11, (1433-1440), Online publication date: 1-Jun-2008. URBANOWICZ W, STARZYK J and SULISLAWSKI J (2018) LAPAROSCOPIC VAGINAL RECONSTRUCTION USING A SIGMOID COLON SEGMENT: A PRELIMINARY REPORTJournal of Urology, VOL. 171, NO. 6 Part 2, (2632-2635), Online publication date: 1-Jun-2004.DEL ROSSI C, ATTANASIO A, DEL CURTO S, D'AGOSTINO S and DE CASTRO R (2018) Treatment of Vaginal Atresia at a Missionary Hospital in Bangladesh: Results and Followup of 20 CasesJournal of Urology, VOL. 170, NO. 3, (864-866), Online publication date: 1-Sep-2003. Thoury A, Detchev R and Daraï E (2002) Néovagin par transplant sigmoïde par voie cœliopérinéale pour syndrome de RokitanskyGynécologie Obstétrique & Fertilité, 10.1016/S1297-9589(02)00487-3, VOL. 30, NO. 12, (938-943), Online publication date: 1-Dec-2002. Daraï E, Soriano D, Thoury A and Bouillot J (2002) Neovagina Construction by Combined Laparoscopic-Perineal Sigmoid Colpoplasty in a Patient with Rokitansky SyndromeThe Journal of the American Association of Gynecologic Laparoscopists, 10.1016/S1074-3804(05)60133-8, VOL. 9, NO. 2, (204-208), Online publication date: 1-May-2002. Parsons J, Gearhart S and Gearhart J (2002) Vaginal reconstruction utilizing sigmoid colon: Complications and long-term resultsJournal of Pediatric Surgery, 10.1053/jpsu.2002.31623, VOL. 37, NO. 4, (629-633), Online publication date: 1-Apr-2002. Volume 162Issue 3 Part 2September 1999Page: 1138-1139 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information CARMINE DEL ROSSI More articles by this author ANNA ATTANASIO More articles by this author VINCENZO DOMENICHELLI More articles by this author ROBERTO DE CASTRO More articles by this author Expand All Advertisement PDF downloadLoading ...