Vaginal vault prolapse after nonsurgical and surgical treatment of Müllerian agenesis

Joseph Schaffer, Christopher Fabricant, Bruce R. Carr

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)947-949
Number of pages3
JournalObstetrics and Gynecology
Volume99
Issue number5 SUPPL. 1
DOIs
StatePublished - 2002

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Pelvic Organ Prolapse
Vagina
Amenorrhea
Therapeutics
Uterus
Dilatation
Transplants

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Vaginal vault prolapse after nonsurgical and surgical treatment of Müllerian agenesis. / Schaffer, Joseph; Fabricant, Christopher; Carr, Bruce R.

In: Obstetrics and Gynecology, Vol. 99, No. 5 SUPPL. 1, 2002, p. 947-949.

Research output: Contribution to journalArticle

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abstract = "BACKGROUND: Women with Mayer-Rokitansky-K{\"u}ster-Hauser syndrome fail to develop m{\"u}llerian 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-K{\"u}ster-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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