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Left-sided sacrospinous ligament suspension for treating recurrent sigmoid neovagina prolapse

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Abstract

Numerous techniques for surgical creation of a neovagina have been described for treating Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Sigmoid vaginoplasty is one well-described technique with satisfactory long-term outcomes. However, there are several case reports of subsequent prolapse of the sigmoid neovagina, which presents a unique challenge for surgical repair, as the associated mesentery can also be involved and is at risk during repair. We present a patient with MRKH syndrome and recurrent sigmoid neovagina prolapse who had undergone four prior attempts at repair. In all prior attempts, recurrence of her prolapse occurred within 3 months of the antecedent surgery. We describe the first report and successful long-term treatment of recurrent sigmoid neovagina prolapse using a left-sided sacrospinous ligament suspension.

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References

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Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

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Authors and Affiliations

  1. Department of Obstetrics & Gynecology, University of Michigan, L4000 Women’s Hospital, 1500 E. Medical Center Dr., SPC 5276, Ann Arbor, MI, 48109-5276, USA

    Carolyn W. Swenson, John O. DeLancey & Megan O. Schimpf

Authors
  1. Carolyn W. Swenson
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  2. John O. DeLancey
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  3. Megan O. Schimpf
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Correspondence to Carolyn W. Swenson.

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Swenson, C.W., DeLancey, J.O. & Schimpf, M.O. Left-sided sacrospinous ligament suspension for treating recurrent sigmoid neovagina prolapse. Int Urogynecol J 25, 1593–1595 (2014). https://doi.org/10.1007/s00192-014-2415-9

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  • DOI: https://doi.org/10.1007/s00192-014-2415-9

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