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International Urogynecology Journal

, Volume 24, Issue 6, pp 1047–1052 | Cite as

Prolapse and sexual function 8 years after neovagina according to Shears: a study of 43 cases with Mayer–von Rokitansky–Küster–Hauser syndrome

  • Annette KuhnEmail author
  • Corinne Neukomm
  • Ekkehard F. Dreher
  • Jeannine Imobersteg
  • Michael D. Mueller
Original Article

Abstract

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.

Keywords

Mayer–von Rokitansky–Kuster–Hauser syndrome Neovagina Sexual function Prolapse Anatomical outcome 

Notes

Conflicts of interest

None.

Source of financial support

This study was not financially supported, but is investigator-driven.

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Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  • Annette Kuhn
    • 1
    • 2
    Email author
  • Corinne Neukomm
    • 1
  • Ekkehard F. Dreher
    • 1
  • Jeannine Imobersteg
    • 1
  • Michael D. Mueller
    • 1
  1. 1.Department of Gynaecology, FrauenklinikUniversity Hospital and University of BernBernSwitzerland
  2. 2.FrauenklinikUniversity HospitalBernSwitzerland

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