McIndoe Vaginoplasty: A Ray of Hope for MRKH Patients
Failure of the embryonic Mullerian duct to develop leads to the Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), which is characterized by congenital insufficiency of the upper vaginal wall and a minimal to nonexistent uterus. Infertility, primary amenorrhea, and difficulties participating in coital activity are among symptoms these patients present with. Although IVF and surrogacy are required for conception, McIndoe Vaginoplasty can start the sexual life and provide coital satisfaction. This study’s main objective was to develop a neovagina that would promote a fulfilling sexual life. Seven patients with MRKH syndrome underwent modified McIndoe vaginoplasty with split thickness skin grafts over a period of three years, and these patients were followed up for two years. All of the patients received in-depth explanations about the procedure, the dangers involved, and the anticipated results. All of the patients had in-depth inspections. The functional outcomes were satisfactory in all seven patients. There were no significant problems or the requirement for blood transfusions. The average vaginal length and breadth were 7-9 cm and 3-4 cm, respectively. The donor sites on every patient healed flawlessly. Modified McIndoe Vaginoplasty is a safe and effective procedure to achieve sexual fulfillment in individuals with vaginal agenesis, with no donor site issues, if carried out with competent surgical abilities.
Atul K. Gowardhan,
Department of General Surgery, Bharatratna Atalbihari Vajpayee Medical College and Hospital, Pune, India.
Priya M. Bagade,
MIMER Medical College and BSTR Hospital, Talegaon, Pune, India.
Please see the link here: https://stm.bookpi.org/CPMS-V5/article/view/7657
Keywords: Mullerian agenesis, neovaginal construction, split thickness skin graft, sexual satisfaction