Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser syndrome

Capsule:
The analysis of 59 Mayer-Rokitansky-Kuster-Hauser syndrome patients shows that sigmoid vaginoplasty provides nearly normal sexuality often tainted with psychologic distress.

Authors:
Caroline Carrard, M.D., Marie Chevret-Measson, M.D., Aude Lunel, M.D., Daniel Raudrant, M.D.
Volume 97, Issue 3 , Pages 691-696, March 2012

Objective:
To investigate the functional and sexual outcome of sigmoid vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.

Design:
Prospective study.

Setting:
University hospital.

Patient(s):
Fifty-nine consecutive patients with MRKH syndrome.

Intervention(s):
Forty-eight patients underwent sigmoid vaginoplasty, and 11 were treated using the Frank method of dilatation.

Main Outcome Measure(s):
Functional results and sexuality were evaluated with the use of two standardized questionnaires: the Female Sexual Function Index (FSFI) and the revised Female Sexual Distress Scale (FSDS-R). Questions were added to analyze depression, body image perception, and desire of motherhood.

Result(s):
Out of the 68% of patients who answered the questionnaire, 73% had regular sexual intercourse. The mean total FSFI score was 28 ± 3.1 in the operated group and 30 ± 5.3 in the group treated with the Frank method. Their mean FSDS-R scores were 21 ± 12.1 and 18 ± 13.8, respectively.

Conclusion(s):
Sigmoid vaginoplasty is an effective technique providing a nearly normal sexual function to patients with vaginal aplasia. Despite this, psychologic distress related to sexuality persists in most patients, demonstrating the need for a multidisciplinary support.

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