Surgical management of vaginal vault prolapse in a woman with a neovagina and pelvic kidneys

Tristi W. Muir, Mark D. Walters

    Research output: Contribution to journalArticle

    14 Citations (Scopus)

    Abstract

    BACKGROUND:: Women with Mayer-Rokitansky-Kuster-Hauser syndrome have congenital absence of the uterus and upper two-thirds of the vagina, which is frequently accompanied by skeletal and renal anomalies. Mechanical dilation or surgical creation of a vagina allows for function but does not provide endopelvic fascial support of the vagina. Vaginal prolapse may occur. CASE:: A 32-year-old woman presented with pelvic kidneys and a 5-year history of prolapse of her mechanically created neovagina. She underwent a sacrospinous ligament suspension with a cadaveric fascia lata bridge. The apex of the neovagina was 5 cm above the hymen 30 months postoperatively. CONCLUSION:: An allograft colpopexy to the sacrospinous ligament is an effective method of surgical treatment of women with a prolapsed shortened vagina and an inaccessible presacral space.

    Original languageEnglish (US)
    Pages (from-to)1199-1201
    Number of pages3
    JournalObstetrics and Gynecology
    Volume104
    Issue number5 PART 2
    DOIs
    StatePublished - Nov 2004

    Fingerprint

    Pelvic Organ Prolapse
    Vagina
    Kidney
    Ligaments
    Hymen
    Uterine Prolapse
    Fascia Lata
    Prolapse
    Uterus
    Allografts
    Dilatation
    Suspensions
    Therapeutics

    ASJC Scopus subject areas

    • Obstetrics and Gynecology

    Cite this

    Surgical management of vaginal vault prolapse in a woman with a neovagina and pelvic kidneys. / Muir, Tristi W.; Walters, Mark D.

    In: Obstetrics and Gynecology, Vol. 104, No. 5 PART 2, 11.2004, p. 1199-1201.

    Research output: Contribution to journalArticle

    Muir, Tristi W. ; Walters, Mark D. / Surgical management of vaginal vault prolapse in a woman with a neovagina and pelvic kidneys. In: Obstetrics and Gynecology. 2004 ; Vol. 104, No. 5 PART 2. pp. 1199-1201.
    @article{2548fadfde934ce883b22edd555c72b1,
    title = "Surgical management of vaginal vault prolapse in a woman with a neovagina and pelvic kidneys",
    abstract = "BACKGROUND:: Women with Mayer-Rokitansky-Kuster-Hauser syndrome have congenital absence of the uterus and upper two-thirds of the vagina, which is frequently accompanied by skeletal and renal anomalies. Mechanical dilation or surgical creation of a vagina allows for function but does not provide endopelvic fascial support of the vagina. Vaginal prolapse may occur. CASE:: A 32-year-old woman presented with pelvic kidneys and a 5-year history of prolapse of her mechanically created neovagina. She underwent a sacrospinous ligament suspension with a cadaveric fascia lata bridge. The apex of the neovagina was 5 cm above the hymen 30 months postoperatively. CONCLUSION:: An allograft colpopexy to the sacrospinous ligament is an effective method of surgical treatment of women with a prolapsed shortened vagina and an inaccessible presacral space.",
    author = "Muir, {Tristi W.} and Walters, {Mark D.}",
    year = "2004",
    month = "11",
    doi = "10.1097/01.AOG.0000133534.85084.ea",
    language = "English (US)",
    volume = "104",
    pages = "1199--1201",
    journal = "Obstetrics and Gynecology",
    issn = "0029-7844",
    publisher = "Lippincott Williams and Wilkins",
    number = "5 PART 2",

    }

    TY - JOUR

    T1 - Surgical management of vaginal vault prolapse in a woman with a neovagina and pelvic kidneys

    AU - Muir, Tristi W.

    AU - Walters, Mark D.

    PY - 2004/11

    Y1 - 2004/11

    N2 - BACKGROUND:: Women with Mayer-Rokitansky-Kuster-Hauser syndrome have congenital absence of the uterus and upper two-thirds of the vagina, which is frequently accompanied by skeletal and renal anomalies. Mechanical dilation or surgical creation of a vagina allows for function but does not provide endopelvic fascial support of the vagina. Vaginal prolapse may occur. CASE:: A 32-year-old woman presented with pelvic kidneys and a 5-year history of prolapse of her mechanically created neovagina. She underwent a sacrospinous ligament suspension with a cadaveric fascia lata bridge. The apex of the neovagina was 5 cm above the hymen 30 months postoperatively. CONCLUSION:: An allograft colpopexy to the sacrospinous ligament is an effective method of surgical treatment of women with a prolapsed shortened vagina and an inaccessible presacral space.

    AB - BACKGROUND:: Women with Mayer-Rokitansky-Kuster-Hauser syndrome have congenital absence of the uterus and upper two-thirds of the vagina, which is frequently accompanied by skeletal and renal anomalies. Mechanical dilation or surgical creation of a vagina allows for function but does not provide endopelvic fascial support of the vagina. Vaginal prolapse may occur. CASE:: A 32-year-old woman presented with pelvic kidneys and a 5-year history of prolapse of her mechanically created neovagina. She underwent a sacrospinous ligament suspension with a cadaveric fascia lata bridge. The apex of the neovagina was 5 cm above the hymen 30 months postoperatively. CONCLUSION:: An allograft colpopexy to the sacrospinous ligament is an effective method of surgical treatment of women with a prolapsed shortened vagina and an inaccessible presacral space.

    UR - http://www.scopus.com/inward/record.url?scp=16544391446&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=16544391446&partnerID=8YFLogxK

    U2 - 10.1097/01.AOG.0000133534.85084.ea

    DO - 10.1097/01.AOG.0000133534.85084.ea

    M3 - Article

    VL - 104

    SP - 1199

    EP - 1201

    JO - Obstetrics and Gynecology

    JF - Obstetrics and Gynecology

    SN - 0029-7844

    IS - 5 PART 2

    ER -