Vaginoplasty in vaginal agenesis associated with MRKH syndrome with tabularized peritoneal pull-through

Authors

  • Ravi Roshan Khadka Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Mohammad Saiful Islam Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md. Shafiqur Rahman Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • S. M. Yunus Ali Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Mohammad Abdus Salam Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Mohammad Hossain Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md. Shajid Hasan Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/bsmmuj.v10i1.31071

Keywords:

MRKH syndrome, Tabularized peritoneal pull-through, Vaginal agenesis, Vaginoplasty

Abstract

In this paper, a 16 year old girl who was  diagnosed as a case of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, underwent a combined laparotomy-peritoneal approach to create a neovagina by using tubularized peritoneal graft with uneventful postoperative period. Vaginal dilation was maintained with a vaginal mould daily for six months and three to four times weekly thereafter. She was followed-up after 2 and 4 weeks in the first month and three monthly for a duration of six months. On second follow-up, adequate vaginal length of 6-7 cm and width of 2.5-3 cm were achieved with healthy vaginal tissue. Hence, the laparotomy-peritoneal approach of using a peritoneal graft for creations of a neovagina can be  an effective approach  with  minimal  surgical morbidity to  create  a passageway for satisfactory intercourse.

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Author Biographies

Ravi Roshan Khadka, Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Resident

Mohammad Saiful Islam, Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Assistant Professor

 

Md. Shafiqur Rahman, Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Associate Professor

Mohammad Abdus Salam, Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Cosultant

Mohammad Hossain, Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Associate Professor

Md. Shajid Hasan, Department of Urology, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka

Professor

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Published

2017-02-24

How to Cite

Khadka, R. R., Islam, M. S., Rahman, M. S., Ali, S. M. Y., Salam, M. A., Hossain, M., & Hasan, M. S. (2017). Vaginoplasty in vaginal agenesis associated with MRKH syndrome with tabularized peritoneal pull-through. Bangabandhu Sheikh Mujib Medical University Journal, 10(1), 35–37. https://doi.org/10.3329/bsmmuj.v10i1.31071

Issue

Section

Case Reports