Laparoscopic creation of a neovagina and recovery of menstrual function in a patient with Rokitansky syndrome: A case report

Luigi Fedele, S. Bianchi, N. Berlanda, A. Bulfoni, E. Fontana

Research output: Contribution to journalArticlepeer-review

Abstract

A 16-year-old woman experiencing primary amenorrhoea and cyclic pelvic pain was diagnosed with Rokitansky syndrome, which was characterized by the absence of the uterus and the upper two-thirds of the vagina, normal salpinges and ovaries and a 4 × 3cm Müllerian remnant containing functioning endometrium located near the left adnexa. With a combined laparoscopic-vaginal operation, the remnant was anastomized with the apex of the retrohymenal fovea. The operation allowed not only the creation of a neovagina but also the recovery of a regular menstrual activity and the theoretical restoration of the reproductive capacity of this patient. An accurate pre- and intra-operative evaluation of patients with Rokitansky syndrome is necessary to identify those who might benefit from this procedure.

Original languageEnglish
Pages (from-to)3287-3289
Number of pages3
JournalHuman Reproduction
Volume21
Issue number12
DOIs
Publication statusPublished - Nov 12 2006

Keywords

  • Laparoscopic surgery
  • Müllerian anomalies
  • Primary amenorrhea
  • Rokitansky syndrome

ASJC Scopus subject areas

  • Physiology
  • Developmental Biology
  • Obstetrics and Gynaecology
  • Reproductive Medicine

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