Sexual Outcomes and Motherhood Plans of The Mayer Rokitansky Küster
Hauser Syndrome Patients Operated with Uncu Modified Remnant-Supported
Laparoscopic Double-Layer Peritoneal Pull-Down Vaginoplasty Technique
Abstract
Objective: To determine the sexual outcomes and motherhood plans of the
Mayer Rokitansky Küster Hauser (MRKH) Syndrome patients operated with
Uncu Modified Remnant-Supported Laparoscopic Double-Layer Peritoneal
Pull-Down Vaginoplasty operation Design: Cohort Study Setting: Tertiary
University Hospital Patients: Women with MRKH syndrome Methods: This
study involves the patients with MRKH syndrome who underwent Uncu
Modified Remnant-Supported Laparoscopic Double-Layer Peritoneal
Pull-Down Vaginoplasty Operation between the years 2008-2020. The first
step of the study is about our surgical technique outcomes. The second
step consists of long-term results for sexual functioning which was
assessed by female sexual function index (FSFI) survey and motherhood
plans by another survey. Main Outcome Measure: FSFI and Motherhood
Survey Results Results Total 42 patients with MRKH syndrome underwent
vaginoplasty operation. At least one year after surgery all patients was
physically examined. The mean vaginal length was 8.4 + 1.9 cm. The mean
FSFI score was 31.5 + 3.9 (min:24-max:36) Thirty-six of the patients
answered a survey about motherhood. Thirty-one of the patients (86%)
had a desire for motherhood. Most of the patients (21/31 – 68%) choose
uterine transplantation as a first option. Three of the patients (9.6%)
choose mater option and seven patients (22.5%) wants to be a mother by
adoption. Conclusion: Uncu Modified Remnant-Supported Laparoscopic
Double-Layer Peritoneal Pull-Down Vaginoplasty Operation is a
satisfactory option for patients with MRKH syndrome with high FSFI
scores and low complication rates. But creating only a neovagina is not
enough for these patients, because of nearly 70% motherhood desire by
uterine transplantation.