Plastic neo-vaginal construction in Mayer-Rokitansky-Küster-Hauser syndrome: an expert opinion paper on the decision-making treatment process

• Main Authors: Torres-de la Roche, Luz Angela, Devassy, Rajesh, Gopalakrishnan, Sreelatha, de Wilde, Maya Sophie, Herrmann, Anja, Larbig, Angelika, De Wilde, Rudy Leon
• Format: Article
• Language: deu
• Published: German Medical Science GMS Publishing House 2016-02-01
• Series: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
• Subjects: vaginal surgery; müllerian ducts; abnormalities; Mayer-Rokitansky-Küster-Hauser syndrome; neovagina; reconstructive surgical procedures; methods; surgery of the female genitalia
• Online Access: http://www.egms.de/static/en/journals/iprs/2016-5/iprs000087.shtml

Vaginal agenesis is a congenital anomaly that affects the life of one of each four thousand women around the world. There is a trend that patients request immediate surgical correction, instead of passive vaginal dilatation. Therefore a differentiated counselling should be provided. We present a comparative chart, based on published evidence, with aspect to the available techniques, which will facilitate the decision-making process in the clinical practice. From our point of view, the best results are achieved with techniques that combine the advantages of the minimal-invasive surgery with those derived of the use of peritoneum as covering tissue of the neovagina. Nevertheless there is a lack on interdisciplinary consensus about the best option to restore the physical and sexual quality of life.