International urogynecology journal · 2012
Prolapse and sexual function 8 years after neovagina according to Shears: a study of 43 cases with Mayer-von Rokitansky-Küster-Hauser syndrome.
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Kuhn Annette, Neukomm Corinne, Dreher Ekkehard F, Imobersteg Jeannine, Mueller Michael D
Аннотация
INTRODUCTION AND HYPOTHESIS: To investigate sexual and anatomical outcome after Shears neovagina in patients with Mayer-von Rokitansky-Kuster-Hauser syndrome (MRKH).
METHODS: Forty-three consecutive patients with MRKH syndrome underwent surgery creating a neovagina according to Shears. Follow-up was 8 years. Sexual function was assessed using the Female Sexual Function Index (FSFI) as patient reported outcome; anatomical results were assessed measuring anterior, posterior and apical prolapse using the ICS Pelvic Organ Prolapse Score (ICS-POP Score). Pelvic floor contraction was measured applying the Oxford grading system.
RESULTS: Thirty-seven of the patients were regularly sexually active and filled in the FSFI; mean total FSFI was 27.2 (range 24-28). No significant prolapse of the neovagina was noted, 11 patients had a grade I cystocele, rectocele or apical descent that was asymptomatic. Oxford grading of the pelvic floor contraction was 4 in median (range 2-5).
CONCLUSION: The neovagina according to Shears is a valuable surgical option with good sexual and anatomical outcome 8 years after therapy.
METHODS: Forty-three consecutive patients with MRKH syndrome underwent surgery creating a neovagina according to Shears. Follow-up was 8 years. Sexual function was assessed using the Female Sexual Function Index (FSFI) as patient reported outcome; anatomical results were assessed measuring anterior, posterior and apical prolapse using the ICS Pelvic Organ Prolapse Score (ICS-POP Score). Pelvic floor contraction was measured applying the Oxford grading system.
RESULTS: Thirty-seven of the patients were regularly sexually active and filled in the FSFI; mean total FSFI was 27.2 (range 24-28). No significant prolapse of the neovagina was noted, 11 patients had a grade I cystocele, rectocele or apical descent that was asymptomatic. Oxford grading of the pelvic floor contraction was 4 in median (range 2-5).
CONCLUSION: The neovagina according to Shears is a valuable surgical option with good sexual and anatomical outcome 8 years after therapy.
Предметные рубрики MeSH
46, XX Disorders of Sex DevelopmentAdolescentAdultCongenital AbnormalitiesFemaleFollow-Up StudiesGynecologic Surgical ProceduresHumansIncidenceLongitudinal StudiesMullerian DuctsPelvic Organ ProlapsePlastic Surgery ProceduresRetrospective StudiesSexual Dysfunction, PhysiologicalTreatment OutcomeVaginaYoung Adult