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 journalArticlepeer-review

    15 Scopus citations

    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 1 2004

    ASJC Scopus subject areas

    • Obstetrics and Gynecology

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