Mayer-Rokitansky-Küster-Hauser syndrome: a review of 245 consecutive cases managed by a multidisciplinary approach with vaginal dilators

Capsule:
Mayer-Rokitansky-Kuster-Hauser syndrome management by a multidisciplinary approach, including psychologists, results in no need for surgical intervention.

Authors:
D. Keith Edmonds, F.R.C.O.G., Gillian L. Rose, F.R.C.O.G., Michelle G. Lipton, D.Clin.Psy., Julie Quek, R.N.
Volume 97, Issue 3 , Pages 686-690, March 2012

Objective:
To understand the efficacy of vaginal dilators in the management of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome.

Design:
Retrospective sequential study.

Setting:
Hospital.

Patient(s):
245 women.

Intervention(s):
Vaginal dilators.

Main Outcome Measure(s):
Functional vaginal length and sexual satisfaction.

Result(s):
Of the patients who completed the program, 232 (94.9%) achieved a successful vaginal length (defined as greater than 6 cm in length and maximum width throughout the vagina and especially at the apex) and sexual function. When the program was completed by all patients, 100% of patients were successful.

Conclusion(s):
Vaginal dilator therapy is the treatment of first choice for creation of the vagina in MRKH syndrome, and the success rates suggest that surgery is rarely, if ever, required.

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