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Vaginal Vault Prolapse After Nonsurgical and Surgical Treatment of Müllerian Agenesis

Divisions of Urogynecology and Reconstructive Pelvic Surgery and Reproductive Endocrinology and Infertility, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas

Address reprint requests to: Joseph Schaffer, MD, University of Texas Southwestern Medical Center at Dallas, Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, 5323 Harry Hines Boulevard, Dallas, TX 75235-9032; E-mail: joseph.schaffer{at}utsouthwestern.edu.

ABSTRACT

BACKGROUND: Women with Mayer-Rokitansky-Küster-Hauser syndrome fail to develop müllerian ducts, present with primary amenorrhea, and an absent or rudimentary uterus and vagina. After creation of a neovagina, vaginal vault prolapse may occur because of lack of support to the artificially created vagina.

CASES: The first patient presented with vaginal vault prolapse 10 years after her vagina was mechanically dilated. The second patient presented with vaginal vault prolapse 27 years after a McIndoe procedure.

CONCLUSION: Women with Mayer-Rokitansky-Küster-Hauser syndrome with an artificially created neovagina by dilatation or surgical procedure with a graft are at risk for vaginal vault prolapse. They can be successfully treated with abdominal sacrocolpopexy and paravaginal repair.

This article has been cited by other articles:

				T. W. Muir and M. D. Walters Surgical Management of Vaginal Vault Prolapse in a Woman With a Neovagina and Pelvic Kidneys Obstet. Gynecol., November 1, 2004; 104(5): 1199 - 1201. [Abstract] [Full Text] [PDF]