Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty
Introduction: Adequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible. Aim: To assess the psychosexual effect of...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Oxford University Press
2017-06-01
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| Series: | Sexual Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2050116117300168 |
| _version_ | 1827847269959860224 |
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| author | Zlatko Pastor, MD, PhD Jiří Froněk, MD, PhD Marta Nováčková, MD, PhD Roman Chmel, MD, PhD |
| author_facet | Zlatko Pastor, MD, PhD Jiří Froněk, MD, PhD Marta Nováčková, MD, PhD Roman Chmel, MD, PhD |
| author_sort | Zlatko Pastor, MD, PhD |
| collection | DOAJ |
| description | Introduction: Adequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible.
Aim: To assess the psychosexual effect of vaginal reconstruction using the laparoscopic Vecchietti technique in patients with MRKHS.
Methods: Forty-two patients with MRKHS who underwent laparoscopic Vecchietti vaginoplasty were included. Their partners also were interviewed. A control group of 45 age-matched, childless, sexually active women were examined during the same period.
Main Outcome Measures: A gynecologic examination was performed to determine the anatomic outcome. Psychosexual function was evaluated with the Female Sexual Distress Scale–Revised (FSDS-R), the Female Sexual Function Index (FSFI), and a semistructured interview. Genital self-image was evaluated using the Female Genital Self-Image Scale (FGSIS).
Results: Average neovagina length (7.0 ± 9.6 cm) in the MRKHS group was significantly shorter than the vaginal length in the control group (9.3 ± 2.5 cm). Women with a neovagina reported satisfactory sexual function (FSFI score = 29 ± 2.7) that was not significantly different from the control group (P < .05); however, they also had significantly higher levels of distress (FSDS-R score = 14.5 ± 6.5) and were not satisfied with their genitals (FGSIS score = 22.0 ± 2.4) compared with the control group.
Conclusion: Sexual function in women with MRKHS can be restored successfully by vaginoplasty; however, they have higher rates of distress and are less satisfied with their genitals.
Pastor Z, Fronĕk J, Nováčková M, Chmel R. Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty. Sex Med 2017;5:e106–e113. |
| first_indexed | 2024-03-12T09:28:05Z |
| format | Article |
| id | doaj.art-3bec0fcab5a645b5acd1b8f6dc583962 |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T09:28:05Z |
| publishDate | 2017-06-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-3bec0fcab5a645b5acd1b8f6dc5839622023-09-02T14:00:58ZengOxford University PressSexual Medicine2050-11612017-06-0152e106e11310.1016/j.esxm.2016.12.003Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti VaginoplastyZlatko Pastor, MD, PhD0Jiří Froněk, MD, PhD1Marta Nováčková, MD, PhD2Roman Chmel, MD, PhD3Department of Obstetrics and Gynecology, Second Faculty of Medicine, Charles University of Prague and Motol University Hospital, Prague, Czech RepublicTransplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech RepublicDepartment of Obstetrics and Gynecology, Second Faculty of Medicine, Charles University of Prague and Motol University Hospital, Prague, Czech RepublicDepartment of Obstetrics and Gynecology, Second Faculty of Medicine, Charles University of Prague and Motol University Hospital, Prague, Czech RepublicIntroduction: Adequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible. Aim: To assess the psychosexual effect of vaginal reconstruction using the laparoscopic Vecchietti technique in patients with MRKHS. Methods: Forty-two patients with MRKHS who underwent laparoscopic Vecchietti vaginoplasty were included. Their partners also were interviewed. A control group of 45 age-matched, childless, sexually active women were examined during the same period. Main Outcome Measures: A gynecologic examination was performed to determine the anatomic outcome. Psychosexual function was evaluated with the Female Sexual Distress Scale–Revised (FSDS-R), the Female Sexual Function Index (FSFI), and a semistructured interview. Genital self-image was evaluated using the Female Genital Self-Image Scale (FGSIS). Results: Average neovagina length (7.0 ± 9.6 cm) in the MRKHS group was significantly shorter than the vaginal length in the control group (9.3 ± 2.5 cm). Women with a neovagina reported satisfactory sexual function (FSFI score = 29 ± 2.7) that was not significantly different from the control group (P < .05); however, they also had significantly higher levels of distress (FSDS-R score = 14.5 ± 6.5) and were not satisfied with their genitals (FGSIS score = 22.0 ± 2.4) compared with the control group. Conclusion: Sexual function in women with MRKHS can be restored successfully by vaginoplasty; however, they have higher rates of distress and are less satisfied with their genitals. Pastor Z, Fronĕk J, Nováčková M, Chmel R. Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty. Sex Med 2017;5:e106–e113.http://www.sciencedirect.com/science/article/pii/S2050116117300168Mayer-Rokitansky-Küster-Hauser SyndromeVecchietti VaginoplastyNeovaginaFemale Sexual Dysfunction |
| spellingShingle | Zlatko Pastor, MD, PhD Jiří Froněk, MD, PhD Marta Nováčková, MD, PhD Roman Chmel, MD, PhD Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty Sexual Medicine Mayer-Rokitansky-Küster-Hauser Syndrome Vecchietti Vaginoplasty Neovagina Female Sexual Dysfunction |
| title | Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty |
| title_full | Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty |
| title_fullStr | Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty |
| title_full_unstemmed | Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty |
| title_short | Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty |
| title_sort | sexual life of women with mayer rokitansky kuster hauser syndrome after laparoscopic vecchietti vaginoplasty |
| topic | Mayer-Rokitansky-Küster-Hauser Syndrome Vecchietti Vaginoplasty Neovagina Female Sexual Dysfunction |
| url | http://www.sciencedirect.com/science/article/pii/S2050116117300168 |
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