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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Introduction and hypothesis
To investigate sexual and anatomical outcome after Shears neovagina in patients with Mayer–von Rokitansky–Kuster–Hauser syndrome (MRKH).
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.
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).
The neovagina according to Shears is a valuable surgical option with good sexual and anatomical outcome 8 years after therapy.
KeywordsMayer–von Rokitansky–Kuster–Hauser syndrome Neovagina Sexual function Prolapse Anatomical outcome
Conflicts of interest
Source of financial support
This study was not financially supported, but is investigator-driven.
- 6.Walch K, Kowarik E, Leithner K, Schätz T, Dörfler D, Wenzl R (2011) Functional and anatomical results after creation of a neovagina according to Wharton-Shears George in patients with Mayer-Rokitansky-Küster-Hauser syndrome—long-term follow-up. Fertil Steril 96(2):492–497PubMedCrossRefGoogle Scholar
- 8.Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JOL, Klarskov P, Shull BL, Smith ARB (2002) Standardisation of terminology Female Pelvic Organ Prolapse and Pelvic Floor Dysfunction. Am J Obstet Gynecol 175(1006):10–11Google Scholar
- 14.Hage JJ (1999) Vaginoplasty in male-to-female transsexuals by inversion of penile and scrotal skin. In: Ehrlich RM, Alter GJ (eds) Reconstructive and plastic surgery of the external genitalia. Saunders , Philadelphia, pp 294–300Google Scholar
- 15.Belgrano E, Lissiani A (1999) La femilizzazione dei genital esterni e la colazione della neovagina. In: Belgrano E Fabris B and Trombetta C (eds) Il transsessualismo. Editrice Kurtis, Milan, pp 87–97Google Scholar
- 20.Davydoff SN (1969) Colpopoesis from the peritoneum of the uterorectal space. Akush Gynecol [Mok] 45:55Google Scholar
- 21.Vecchietti G (1965) Neovagina nella syndrome di Rokitanski Kuster Hauser attual. Obstet Ginecol 11:131Google Scholar