Laparoscopic findings and pelvic anatomy in Mayer-Rokitansky-Küster- Hauser syndrome

Luigi Fedele, Stefano Bianchi, Giada Frontino, Nevio Ciappina, Eleonora Fontana, Franco Borruto

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To describe analytically the anatomic variety and laparoscopic findings observed in patients with Rokitansky syndrome throughout an 11-year span. METHODS: We analyzed the laparoscopic and chart records of 106 consecutive patients who underwent surgery for the creation of a neovagina, according to the modified laparoscopic Vecchietti procedure. RESULTS: A hypoplastic vagina was observed in 61 women. Müllerian remnants, laterally displaced in the pelvis, were identified in 92 cases; 42 (25.9%, 95% confidence interval [CI] 19.2-33.3) of 162 müllerian remnants were cavitated and contained endometrial mucosa. Ovaries were extrapelvic in 17 (16.0%, 95% CI 9.6-24.4) cases. Anomalies of the urinary tract were identified in 32 (30.2%, 95% CI 21.7-39.9) patients; unilateral renal agenesis was the most frequent finding (18 cases; 18%, 95%CI 10.4-25.5). CONCLUSION: Rokitansky syndrome has a wide variability of anatomic presentations, and, as the do other congenital anomalies of the female genital tract, it represents a continuum of embryonic malformations, which occur at different stages of development.

Original languageEnglish
Pages (from-to)1111-1115
Number of pages5
JournalObstetrics and Gynecology
Volume109
Issue number5
DOIs
Publication statusPublished - May 2007

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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