Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
International Urogynecology Journal
Published in: International Urogynecology Journal 11/2017

01-11-2017 | IUJ Video

Vaginal vault prolapse in a patient with Mayer–Rokitansky–Küster–Hauser syndrome: a video case presentation

Authors: Carolyn Botros, Shilpa Iyer, Alexis M. Tran, Roger P. Goldberg

Published in: International Urogynecology Journal | Issue 11/2017

Login to get access

Abstract

Introduction and hypothesis

Several reports have described vaginal prolapse in Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome patients after creation of a neovagina. To our knowledge, no reports of primary vaginal prolapse of a blind pouch without previous intervention, or surgery for this condition, have been described.

Methods

In this case report, we describe a 19-year-old woman with MRKH and complete prolapse of her shortened vaginal pouch. Surgical correction utilizing permanent suture-based sacrospinous ligament fixation was performed.

Results

The patient had a successful outcome.

Conclusions

Sacrospinous ligament fixation provided a safe and effective method for the management of vaginal pouch prolapse. Long-term follow-up is planned. To our knowledge, this is the first report describing surgical repair of primary prolapse of a blind vaginal pouch in the setting of MRKH.
Appendix
Available only for authorised users
Literature
1.
2.
Morcel K, Lavoué V, Jaffre F, Paniel BJ, Rouzier R. Sexual and functional results after creation of a neovagina in women with Mayer-Rokitansky-Küster-Hauser syndrome: a comparison of nonsurgical and surgical procedures. Eur J Obstet Gynecol Reprod Biol. 2013;169(2):317–20.CrossRefPubMed
3.
Kisku S, Varghese L, Kekre A, Sen S, Karl S, Mathai J, et al. Bowel vaginoplasty in children and young women: an institutional experience with 55 patients. Int Urogynecol J. 2015;26(10):1441–8.CrossRefPubMed
4.
Kuhn A, Neukomm C, Dreher EF, Imobersteg J, Mueller MD. Prolapse and sexual function 8 years after neovagina according to shears: a study of 43 cases with Mayer-von-Rokitansky-Hauser syndrome. Int Urogynecol J. 2013 Jun;24(6):1047–52.
5.
Freundt I, Toolenaar TA, Jeekel H, Drogendijk AC, Huikeshoven FJ. Prolapse of the sigmoid neovagina: report of three cases. Obstet Gynecol. 1994;83(5 Pt 2):876–9.PubMed
6.
Swenson CW, DeLancey JO, Schimpf MO. Left-sided sacrospinous ligament suspension for treating recurrent sigmoid neovagina prolapse. Int Urogynecol J. 2014;25(11):1593–5.CrossRefPubMed
7.
Zhu L, Chen N, Lang J. Vault prolapse of sigmoid neovagina 26 years after vaginoplasty in Mayer-Rokitansky-Kuster_Hauser-syndrome: a case report. Int Urogynecol J. 2013;24(1):179–80.CrossRefPubMed
8.
Moriarty CR, Miklos JR, Moore RD. Laparoscopic Davydov correction of a failed gracilis flap neovagina in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome with a pelvic kidney. J Minim Invasive Gynecol. 2013;20(2):262–5.CrossRefPubMed
9.
Loveless M, Gutman R, Cundiff G. Tissue expanders optimize harvesting of full-thickness skin grafts in select patients undergoing McIndoe neovagina. J Pelvic Med Surg. 2008;14(3):185–90.CrossRef
Metadata
Title
Vaginal vault prolapse in a patient with Mayer–Rokitansky–Küster–Hauser syndrome: a video case presentation
Authors
Carolyn Botros
Shilpa Iyer
Alexis M. Tran
Roger P. Goldberg
Publication date
01-11-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 11/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-017-3325-4

Other articles of this Issue 11/2017

International Urogynecology Journal 11/2017 Go to the issue

Original Article

Pelvic floor symptoms and quality of life changes during first pregnancy: a prospective cohort study

Original Article

Functional and quality of life outcomes following obstetric anal sphincter injury (OASI): does the grade of injury affect outcomes?

Original Article

Bulkamid (PAHG) in mixed urinary incontinence: What is the outcome?

Original Article

A rat hysteropexy model for evaluating adhesion formation and comparison of two different structured meshes

Urogynecology Digest

Urogynecology digest

IUJ Video

Robot-assisted laparoscopic pectouteropexy: an alternative uterus-sparing technique for pelvic organ prolapse surgery