TY - JOUR
T1 - Vaginal vault prolapse after nonsurgical and surgical treatment of Müllerian agenesis
AU - Schaffer, Joseph
AU - Fabricant, Christopher
AU - Carr, Bruce R.
PY - 2002
Y1 - 2002
N2 - BACKGROUND: Women with Mayer-Rokitansky-Küster-Hauser syndrome fail to develop müllerian ducts, present with primary amenorrhea, and an absent or rudimentary uterus and vagina. After creation of a neovagina, vaginal vault prolapse may occur because of lack of support to the artificially created vagina. CASES: The first patient presented with vaginal vault prolapse 10 years after her vagina was mechanically dilated. The second patient presented with vaginal vault prolapse 27 years after a McIndoe procedure. CONCLUSION: Women with Mayer-Rokitansky-Küster-Hauser syndrome with an artificially created neovagina by dilatation or surgical procedure with a graft are at risk for vaginal vault prolapse. They can be successfully treated with abdominal sacrocolpopexy and paravaginal repair.
AB - BACKGROUND: Women with Mayer-Rokitansky-Küster-Hauser syndrome fail to develop müllerian ducts, present with primary amenorrhea, and an absent or rudimentary uterus and vagina. After creation of a neovagina, vaginal vault prolapse may occur because of lack of support to the artificially created vagina. CASES: The first patient presented with vaginal vault prolapse 10 years after her vagina was mechanically dilated. The second patient presented with vaginal vault prolapse 27 years after a McIndoe procedure. CONCLUSION: Women with Mayer-Rokitansky-Küster-Hauser syndrome with an artificially created neovagina by dilatation or surgical procedure with a graft are at risk for vaginal vault prolapse. They can be successfully treated with abdominal sacrocolpopexy and paravaginal repair.
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U2 - 10.1016/S0029-7844(02)01969-5
DO - 10.1016/S0029-7844(02)01969-5
M3 - Article
C2 - 11975970
AN - SCOPUS:0036225065
SN - 0029-7844
VL - 99
SP - 947
EP - 949
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 5 SUPPL. 1
ER -