VOLUME 16 , ISSUE 1 ( January-February, 2024 ) > List of Articles
SR Dhanvarsha Sumaldha, G Rohini, Sai Supriya Muthyala, Anand Prasath Jayachandiran, Narayanamurthy Sundaramurthy, Surya Rao Rao Venkata Mahipathy
Keywords : Case report, Mayer–Rokitansky–Kuster–Hauser syndrome, Sexual problems, Vaginoplasty
Citation Information : Sumaldha SD, Rohini G, Muthyala SS, Jayachandiran AP, Sundaramurthy N, Mahipathy SR. Creating a Pathway for a Dead End: Horse Shoe Flap Vaginoplasty for Mayer–Rokitansy–Kuster–Hauser Syndrome: A Case Report. J South Asian Feder Obs Gynae 2024; 16 (1):54-57.
DOI: 10.5005/jp-journals-10006-2336
License: CC BY-NC 4.0
Published Online: 10-01-2024
Copyright Statement: Copyright © 2024; The Author(s).
Background: For a woman, the absence of a vagina makes her devoid of both sexual well-being and motherhood. Vaginal agenesis is by no means rare and is a cause of primary amenorrhea. Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome affects 1/4000–1/10,000 females. Case description: Here we report a 39-year-old female, who presented with complaints of inability to have sexual intercourse. After history and physical examination, an MRI was done showing normal abdominal organs, hypoplastic uterus, and bilateral ovaries 1 cm × 1 cm. Karyotyping showed 46XX. Horse shoe labial flap vaginoplasty was done as per the technique of Purushothaman. The postoperative period was uneventful with the flap settling well. On follow-up at 3 months, she was able to successfully use 1/4th of the dilator 3 and reported having a satisfactory sexual life with her partner. Conclusion: Horse shoe labial flap vaginoplasty uses the entire hairless skin within the labia majora to create a neovagina. Being a new technique with simplified suturing techniques and augmented blood supply, it is a more reliable method with better results.
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