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2017 ; 5
(2
): e106-e113
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Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After
Laparoscopic Vecchietti Vaginoplasty
#MMPMID28274598
Pastor Z
; Fron?k J
; Nová?ková M
; Chmel R
Sex Med
2017[Jun]; 5
(2
): e106-e113
PMID28274598
show ga
INTRODUCTION: Adequate anatomic and physiologic functions of the genitalia are
fundamental prerequisites for sexual well-being and reproduction.
Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life
and makes reproduction impossible. AIM: To assess the psychosexual effect of
vaginal reconstruction using the laparoscopic Vecchietti technique in patients
with MRKHS. METHODS: Forty-two patients with MRKHS who underwent laparoscopic
Vecchietti vaginoplasty were included. Their partners also were interviewed. A
control group of 45 age-matched, childless, sexually active women were examined
during the same period. MAIN OUTCOME MEASURES: A gynecologic examination was
performed to determine the anatomic outcome. Psychosexual function was evaluated
with the Female Sexual Distress Scale-Revised (FSDS-R), the Female Sexual
Function Index (FSFI), and a semistructured interview. Genital self-image was
evaluated using the Female Genital Self-Image Scale (FGSIS). RESULTS: Average
neovagina length (7.0 ± 9.6 cm) in the MRKHS group was significantly shorter than
the vaginal length in the control group (9.3 ± 2.5 cm). Women with a neovagina
reported satisfactory sexual function (FSFI score = 29 ± 2.7) that was not
significantly different from the control group (P < .05); however, they also had
significantly higher levels of distress (FSDS-R score = 14.5 ± 6.5) and were not
satisfied with their genitals (FGSIS score = 22.0 ± 2.4) compared with the
control group. CONCLUSION: Sexual function in women with MRKHS can be restored
successfully by vaginoplasty; however, they have higher rates of distress and are
less satisfied with their genitals. Pastor Z, Fron?k J, Nová?ková M, Chmel R.
Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After
Laparoscopic Vecchietti Vaginoplasty. Sex Med 2017;5:e106-e113.