Plastic neo-vaginal construction in Mayer-Rokitansky-Kuster-Hauser syndrome: an expert opinion paper on the decision-making treatment process.

ABSTRACT: Vaginal agenesis is a congenital anomaly that affects the life of one of each four thousand women around the world. There is a trend that patients request immediate surgical correction, instead of passive vaginal dilatation. Therefore a differentiated counselling should be provided. We present a comparative chart, based on published evidence, with aspect to the available techniques, which will facilitate the decision-making process in the clinical practice. From our point of view, the best results are achieved with techniques that combine the advantages of the minimal-invasive surgery with those derived of the use of peritoneum as covering tissue of the neovagina. Nevertheless there is a lack on interdisciplinary consensus about the best option to restore the physical and sexual quality of life.

SUBMITTER: Torres-de la Roche LA 

PROVIDER: S-EPMC4740437 | biostudies-other | 2016

REPOSITORIES: biostudies-other