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Objective: To investigate the functional and sexual outcome of sigmoid vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.

Design: Prospective study.

Setting: University hospital.

Patient(s): Fifty-nine consecutive patients with MRKH syndrome.

Intervention(s): Forty-eight patients underwent sigmoid vaginoplasty, and 11 were treated using the Frank method of dilatation.

Main Outcome Measure(s): Functional results and sexuality were evaluated with the use of two standardized questionnaires: the Female Sexual Function Index (FSFI) and the revised Female Sexual Distress Scale (FSDS-R). Questions were added to analyze depression, body image perception, and desire of motherhood.

Result(s): Out of the 68% of patients who answered the questionnaire, 73% had regular sexual intercourse. The mean total FSFI score was 28 ± 3.1 in the operated group and 30 ± 5.3 in the group treated with the Frank method. Their mean FSDS-R scores were 21 ± 12.1 and 18 ± 13.8, respectively.

Conclusion(s): Sigmoid vaginoplasty is an effective technique providing a nearly normal sexual function to patients with vaginal aplasia. Despite this, psychologic distress related to sexuality persists in most patients, demonstrating the need for a multidisciplinary support.

Titel:	Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser syndrome.
Autor/in / Beteiligte Person:	Carrard, C ; Chevret-Measson, M ; Lunel, A ; Raudrant, D
Zeitschrift:	Fertility and sterility, Jg. 97 (2012-03-01), Heft 3, S. 691-6
Veröffentlichung:	New York. NY : Elsevier for the American Society for Reproductive Medicine ; <i>Original Publication</i>: New York, Hoeber., 2012
Medientyp:	academicJournal
ISSN:	1556-5653 (electronic)
DOI:	10.1016/j.fertnstert.2011.12.015
Schlagwort:	46, XX Disorders of Sex Development physiopathology 46, XX Disorders of Sex Development psychology Abnormalities, Multiple physiopathology Abnormalities, Multiple psychology Adoption psychology Body Image Chi-Square Distribution Congenital Abnormalities Depression etiology Female France Hospitals, University Humans Insemination, Artificial, Heterologous psychology Kidney abnormalities Mullerian Ducts abnormalities Patient Satisfaction Perception Recovery of Function Somites abnormalities Spine abnormalities Surrogate Mothers psychology Surveys and Questionnaires Treatment Outcome Uterus abnormalities Uterus physiopathology Uterus surgery Vagina abnormalities Vagina physiopathology Young Adult 46, XX Disorders of Sex Development surgery Abnormalities, Multiple surgery Gynecologic Surgical Procedures adverse effects Sexuality Surgically-Created Structures adverse effects Vagina surgery
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Fertil Steril] 2012 Mar; Vol. 97 (3), pp. 691-6. <i>Date of Electronic Publication: </i>2012 Jan 14. MeSH Terms: Gynecologic Surgical Procedures* / adverse effects ; Sexuality* ; Surgically-Created Structures* / adverse effects ; 46, XX Disorders of Sex Development / surgery ; Abnormalities, Multiple / surgery ; Vagina / *surgery ; 46, XX Disorders of Sex Development / physiopathology ; 46, XX Disorders of Sex Development / psychology ; Abnormalities, Multiple / physiopathology ; Abnormalities, Multiple / psychology ; Adoption / psychology ; Body Image ; Chi-Square Distribution ; Congenital Abnormalities ; Depression / etiology ; Female ; France ; Hospitals, University ; Humans ; Insemination, Artificial, Heterologous / psychology ; Kidney / abnormalities ; Mullerian Ducts / abnormalities ; Patient Satisfaction ; Perception ; Recovery of Function ; Somites / abnormalities ; Spine / abnormalities ; Surrogate Mothers / psychology ; Surveys and Questionnaires ; Treatment Outcome ; Uterus / abnormalities ; Uterus / physiopathology ; Uterus / surgery ; Vagina / abnormalities ; Vagina / physiopathology ; Young Adult SCR Disease Name: Mullerian aplasia Entry Date(s): Date Created: 20120117 Date Completed: 20120424 Latest Revision: 20220408 Update Code: 20240513

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Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser syndrome.