AIIMS Patna, Department of Obstetrics and Gynecology, AIIMS Patna, Bihar, India.
AIIMS Patna, Department of Obstetrics and Gynecology, AIIMS Patna, Bihar, India.
J Obstet Gynaecol Can. 2022 Aug;44(8):926-930. doi: 10.1016/j.jogc.2022.03.018. Epub 2022 Apr 27.
There is a paucity of research on psychosexual outcomes after neo-vaginoplasty in women with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. We compared anatomical and psychosexual outcomes between women with MRKH syndrome who had undergone vaginoplasty and age-matched, sexually active, childless women. Outcomes were assessed using the female sexual function index (FSFI), World Health Organization Disability Assessment Schedule (WHODAS 2.0), General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire (PHQ-9) tools. Although mean vaginal length was shorter in women with MRKH syndrome than controls (8.6 ± 1.8 cm vs 9.3 ± 2.6 cm), FSFI scores were comparable in both groups (27.8 ± 1.4 vs. 27.3 ± 4.1). Women with MRKH syndrome reported fewer depressive symptoms, and WHODAS 2.0 scores were comparable in both groups (8.9 ± 2.4 vs. 7.8 ± 6.7). Therefore, psychosexual outcomes for women who had undergone neo-vaginoplasty for MRKH syndrome were not different from those of the general population.
关于 Mayer-Rokitansky-Küster-Hauser（MRKH）综合征患者行阴道成形术后的心理性结果的研究甚少。我们比较了行阴道成形术的 MRKH 综合征患者与年龄匹配、有性生活但无子女的活跃女性在解剖学和心理性结果方面的差异。使用女性性功能指数（FSFI）、世界卫生组织残疾评估量表（WHODAS 2.0）、广泛性焦虑障碍 7 项量表（GAD-7）和患者健康问卷（PHQ-9）工具评估结果。尽管 MRKH 综合征患者的阴道平均长度短于对照组（8.6 ± 1.8 cm 比 9.3 ± 2.6 cm），但两组的 FSFI 评分相似（27.8 ± 1.4 比 27.3 ± 4.1）。MRKH 综合征患者报告的抑郁症状较少，两组的 WHODAS 2.0 评分相似（8.9 ± 2.4 比 7.8 ± 6.7）。因此，MRKH 综合征患者行阴道成形术后的心理性结果与普通人群没有差异。
