Laparoscopic Vaginoplasty Procedure Using a Modified Peritoneal Pull-Down Technique with Uterine Strand Incision in Patients with Mayer–Rokitansky–Küster–Hauser Syndrome: Kisu Modification

Autor:	Kunio Tanaka, Moito Iijima, Tetsuro Shiraishi, Iori Kisu, Hiroshi Senba, Keigo Yamaguchi, Nobumaru Hirao, Asahi Tokuoka, Kanako Nakamura, Kouji Banno, Miho Iida, Kiyoko Matsuda
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	MRKH Syndrome medicine.medical_specialty Davydov procedure Mayer–Rokitansky–Küster–Hauser syndrome neovagina uterine factor infertility uterus transplantation vaginoplasty vaginal agenesis business.industry Mean age General Medicine Article Surgery Uterus transplantation medicine Vaginoplasty Medicine In patient Mayer-Rokitansky-Kuster-Hauser Syndrome Vaginal agenesis business
Zdroj:	Journal of Clinical Medicine; Volume 10; Issue 23; Pages: 5510 Journal of Clinical Medicine Journal of Clinical Medicine, Vol 10, Iss 5510, p 5510 (2021)
ISSN:	2077-0383
DOI:	10.3390/jcm10235510
Popis:	Various vaginoplasty procedures have been developed for patients with Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome. Here, we describe a novel laparoscopic vaginoplasty procedure, known as the Kisu modification, using a pull-down technique of the peritoneal flaps with additional structural support to the neovaginal apex using the incised uterine strand in patients with MRKH syndrome. Ten patients with MRKH syndrome (mean age at surgery: 23.9 ± 6.5 years, mean postoperative follow-up period: 17.3 ± 3.7 months) underwent construction of a neovagina via laparoscopic vaginoplasty. All surgeries were performed successfully without complications. The mean neovaginal length at discharge was 10.3 ± 0.5 cm. Anatomical success was achieved in all patients, as two fingers were easily introduced, the neovagina was epithelialized, and the mean neovaginal length was 10.1 ± 1.0 cm 1 year postoperatively. No obliteration, granulation tissue formation at the neovaginal apex, or neovaginal prolapse was recorded. Five of the 10 patients attempted sexual intercourse and all five patients were satisfied with the sexual activity, indicating functional success. Although the number of cases in this case series is few, our favorable experience suggests that the Kisu modification of laparoscopic vaginoplasty procedure is an effective, feasible, and safe approach for neovaginal creation in patients with MRKH syndrome.
Databáze:	OpenAIRE
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