Laparoscopic-ultrasonographic combined technique for the creation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome.

OBJECTIVE

To create a neovagina using a combined laparoscopic and ultrasonographic technique in Mayer-Rokitansky-Kuster-Hauser syndrome by modification of Vecchietti's operation.

DESIGN

Case report.

SETTING

Division of Physiopathology of Reproduction, University of Palermo, Palermo, Italy.

MAIN OUTCOME MEASURE(S): The advancement of the needle from the pseudohymen, through the vesicorectal space using a triple contrast ultrasonographic technique.

RESULT(S): The ultrasonographic scanning guides the accurate transit from external genitalia to the peritoneal cavity.

CONCLUSION(S): This original approach allowed a safe and rapid creation of a neovagina in a case of Mayer-Rokitansky-Kuster-Hauser syndrome.