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Laparoscopic Findings and Pelvic Anatomy in Mayer-Rokitansky-Küster-Hauser Syndrome

From the ¹Department of Obstetrics, Gynecology and Neonatology, Fondazione "Policlinico-Mangiagalli-Regina Elena," University of Milano, Milan, Italy; and ²Department of Obstetrics and Gynecology, University of Verona, Ospedale Borgoroma, Verona, Italy.

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.

LEVEL OF EVIDENCE: III

This article has been cited by other articles:

				R. E. Batt, P. R. Koninckx, D. C. Martin, and J. Yeh Laparoscopic Findings and Pelvic Anatomy in Mayer-Rokitansky-Kuster-Hauser Syndrome Obstet. Gynecol., October 1, 2007; 110(4): 934 - 935. [Full Text] [PDF]