Vaginal reconstruction in adolescent females with Mayer-Rokitansky-Kuster-Hauser syndrome.

Throughout time, vaginal and uterine anomalies have had dramatic and disconcerting effects on individuals and families with regard to issues of femininity, reproduction, sexual options, body image, and self-esteem. Mayer-Rokitansky-Kuster-Hauser (MRKII) syndrome is characterized by complete or partial absence of the vagina, uterus and proximal fallopian tubes. The modified Abbe-McIndoe technique is commonly used to create a neovagina. This technique is considered by many to be the procedure of choice because of its simplicity, low morbidity, and success rate. Females with MRKH syndrome have options for sexual function and the attainment of genetic offspring due to remarkable advances in plastic surgery and the use of assisted reproductive technologies and a surrogate. An improved quality of life may be the impetus for hope, optimism, and a future orientation.