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Lower urinary tract symptoms in patients with Mayer-Rokitansky-Kuster-Hauser syndrome after neo-vagina creation by Davydov’s procedure

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Abstract

Introduction

Lower urinary tract symptoms (LUTS) in subjects with Mayer-Rokitansky-Küster-Hauser syndrome treated by Davydov’s laparoscopic neo-vaginoplasty were measured.

Methods

Davydov’s laparoscopic neo-vaginoplasty was undertaken at the Department of Obstetrics/gynecology, San Raffaele Hospital, Milan, Italy, from November 2015 to July 2017, by two highly qualified surgeons. All women completed the ICIQ-UI Short Form questionnaire before and after treatment. LUTS were scored at recruitment, hospitalization, and 1, 3, 6 and 12 months after surgery.

Results

Twenty-one women (mean age 21 years ± 5.9) were operated on with no major complications. Mean surgery duration was 79 min (± 55 min). Before the operation, one patient (1/21; 4.8%) reported occasional urinary loss that persisted after surgery and throughout 12 months of follow-up. After the operation, one patient (1/21; 4.8%) had urinary retention, requiring self-catheterization for 2 weeks. One month after surgery, stress incontinence was recorded in one case (1/19; 5.2%) and urge incontinence in two cases (2/19; 10.5%). At 3-month follow-up, these three patients were free of symptoms.

Conclusion

The rate of LUTS is lower than that reported by others using alternative surgical procedures. To the best of our knowledge, this is the first report validating LUTS after Davydov’s neo-vaginoplasty.

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Author notes

  1. Yoav Baruch and Roberta Nale contributed equally to this work.

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Olgettina, 60, 20132, Milan, MI, Italy

    Yoav Baruch, Roberta Nale, Marta Parma, Simona Di Fatta, Luigi Fedele, Massimo Candiani & Stefano Salvatore

Authors
  1. Yoav Baruch
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  2. Roberta Nale
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  3. Marta Parma
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  4. Simona Di Fatta
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  5. Luigi Fedele
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  6. Massimo Candiani
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  7. Stefano Salvatore
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Contributions

Baruch and Nale wrote the manuscript and analyzed the data.

Parma and Di Fatta collected the clinical data and conducted the clinical follow-up of patients. Fedele and Candiani performed the operations (laparoscopy and perineal stages, respectively) and edited the manuscript. Salvatore was the project developer and supervisor. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yoav Baruch.

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The authors declare that they have no conflict of interest.

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Baruch, Y., Nale, R., Parma, M. et al. Lower urinary tract symptoms in patients with Mayer-Rokitansky-Kuster-Hauser syndrome after neo-vagina creation by Davydov’s procedure. Int Urogynecol J 31, 2529–2533 (2020). https://doi.org/10.1007/s00192-020-04311-7

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  • DOI: https://doi.org/10.1007/s00192-020-04311-7

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