Meutia Alfa Putri, Ksyatria Yudhistya, Priyatini Tyas, Hakim Surahman, Djusad Suskhan, Moegni Fernandi, Hidayah Gita Nurul, Harzif Achmad Kemal
Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of Medicine - Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Division of Reproductive Endocrinology and Fertility, Department of Obstetrics and Gynecology, Faculty of Medicine - Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Gynecol Minim Invasive Ther. 2024 Feb 23;13(1):48-52. doi: 10.4103/gmit.gmit_33_23. eCollection 2024 Jan-Mar.
Management of vaginal agenesis in Mayer-Rokitansky-Küster-Hauser syndrome patients is by creating functional neovagina through surgical or nonsurgical route. Surgical repair using minimally invasive technique is a favorable option in creating neovagina. In this study, the patients underwent neovaginoplasty. Clinical follow-ups were done at 3, 6, and 12 months postoperatively. The primary outcomes were anatomic and functional successes; anatomical success was defined as a ≥6 cm-long neovagina that allows for easy introduction of two fingers, and functional success was defined with Female Sexual Function Index FSFI-6 questionnaire score above 19. Modified neovaginoplasty using autologous peritoneal graft was performed on the patients ( = 6). Follow-up showed mean vaginal lengths of 8.16 cm, mean surgery time of 175 min, mean blood loss of 59.17 ml, and mean duration of hospital stay of 2 days, with an average FSFI-6 score of 25,2. Therefore, we concluded that laparoscopic approach using modified technique of autologous peritoneal graft provides satisfactory result.
对于迈耶-罗基坦斯基-库斯特-豪泽综合征患者的阴道发育不全，可通过手术或非手术途径创建功能性新阴道来进行治疗。采用微创技术进行手术修复是创建新阴道的一个有利选择。在本研究中，患者接受了新阴道成形术。术后3个月、6个月和12个月进行了临床随访。主要结局为解剖学和功能学成功；解剖学成功定义为新阴道长度≥6 cm，能够轻松插入两根手指，功能学成功定义为女性性功能指数（FSFI-6）问卷评分高于19分。对患者（n = 6）进行了使用自体腹膜移植的改良新阴道成形术。随访显示，平均阴道长度为8.16 cm，平均手术时间为175分钟，平均失血量为59.17 ml，平均住院时间为2天，FSFI-6平均评分为25.2。因此，我们得出结论，采用改良自体腹膜移植技术的腹腔镜手术方法可提供满意的结果。
