Sigmoid vaginoplasty in Mayer-Rokitansky-Kuster-Hauser syndrome Article Swipe
YOU?
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· 2020
· Open Access
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· DOI: https://doi.org/10.1186/s10397-020-01079-y
Introduction Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) is characterized by congenital aplasia of the uterus and upper 2/3 of the vagina, with normal female secondary sexual characteristics and a normal karyotype (46, XX). The frequency is 1/4500–5000 female births. The aim of this study was to report the management of MRKH syndrome with sigmoid vaginoplasty. Patients and method This study included 4 patients recruited over a 4-year period from February 2016 to January 2019. MRKH syndrome was retained in the presence of normal secondary sexual characteristics with normal external genitalia associated with vaginal aplasia and uterine agenesis. The approach was a laparotomy and a perineal approach under general anesthesia. The procedure involved the removal of a sigmoidal colonic graft that was anastomosed with the vaginal dimple. Results The average age was 23 years. All patients had consulted for primary amenorrhea, infertility, and/or difficulties in sexual intercourse. The diagnosis of MRKH type 1 was retained in all patients. The average length of the vagina was 3.25 cm before surgery and 13.63 cm after surgery. The postoperative outcomes were uneventful in 3 patients. One patient developed anastomotic stenosis that was successfully treated with vaginal dilation for 2 weeks. The average postoperative follow-up was 30 months. Conclusion In the context of a low-resource setting, sigmoid transposition represents a good procedure to treat vaginal aplasia and restore a satisfactory sexual activity to patients with MRKH type 1.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s10397-020-01079-y
- https://gynecolsurg.springeropen.com/track/pdf/10.1186/s10397-020-01079-y
- OA Status
- hybrid
- Cited By
- 6
- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W3051290126
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3051290126Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s10397-020-01079-yDigital Object Identifier
- Title
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Sigmoid vaginoplasty in Mayer-Rokitansky-Kuster-Hauser syndromeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-08-18Full publication date if available
- Authors
-
Ibrahim Amadou Magagi, Harissou Adamou, Souleymane Oumarou Garba, Maazou Halidou, Ousseini Adakal, Oumarou Habou, Maman Bachir Abdoulaye, Madi Nayama, Rachid SaniList of authors in order
- Landing page
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https://doi.org/10.1186/s10397-020-01079-yPublisher landing page
- PDF URL
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https://gynecolsurg.springeropen.com/track/pdf/10.1186/s10397-020-01079-yDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
- OA URL
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https://gynecolsurg.springeropen.com/track/pdf/10.1186/s10397-020-01079-yDirect OA link when available
- Concepts
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Medicine, Vaginoplasty, Mayer-Rokitansky-Kuster-Hauser Syndrome, Vagina, Aplasia, Surgery, Sigmoid colon, Agenesis, Gynecology, RectumTop concepts (fields/topics) attached by OpenAlex
- Cited by
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6Total citation count in OpenAlex
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2025: 3, 2024: 2, 2023: 1Per-year citation counts (last 5 years)
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18Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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