Publication:
Long term sexual outcomes of mayer rokitansky küster hauser syndrome patients after uncu-modified davydov procedure

dc.contributor.buuauthorAslan, Kiper
dc.contributor.buuauthorASLAN, MÜNİR KİPER
dc.contributor.buuauthorGürbüz, T. B.
dc.contributor.buuauthorGÜRBÜZ, TANSU BAHAR
dc.contributor.buuauthorRhan, A.
dc.contributor.buuauthorKasapoglu, Işıl
dc.contributor.buuauthorKASAPOĞLU, IŞIL
dc.contributor.buuauthorZerkan, K.
dc.contributor.buuauthorUncu, Gürkan
dc.contributor.buuauthorUNCU, GÜRKAN
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Kadın Hastalıkları ve Doğum Anabilim Dalı.
dc.contributor.orcid0000-0002-9277-7735
dc.contributor.researcheridAER-7173-2022
dc.date.accessioned2024-10-03T10:49:07Z
dc.date.available2024-10-03T10:49:07Z
dc.date.issued2023-09-01
dc.description.abstractBackground: Mayer-Rokitansky-Kister-Hauser (MRKH) syndrome has an incidence of 1 in 4000. The absence of the vagina and uterus results in sexual dysfunction and infertility. The first-line treatment is vaginal dilatation. There exists a number of second-line surgical options including the Uncu-modified Davydov procedure.Objective: To determine the complication rate, anatomical outcomes, and long-term sexual outcomes of MRKH syndrome patients after Uncu-modified Davydov procedure.Materials and Methods: Patients with MRKH syndrome who underwent paramesonephric remnant-supported laparoscopic double-layer peritoneal pull-down vaginoplasty (aka Uncu-modified Davydov procedure) between January 2008 and December 2021. The procedure involves laparoscopic circular dissection of the pelvic peritoneum followed by pulling down, through the opened vaginal orifice, and suturing the vaginal cuff with the support of uterine remnants. The long-term complication rate, anatomical outcomes, and sexual function outcomes (as measured by Female Sexual Function Index (FSFI)) were ascertained.Main Outcome Measures: The long-term complication rate, anatomical outcomes and FSFI survey results.Results: A total of 50 patients with MRKH syndrome underwent the Uncu-modified Davydov procedure between Jan 2008- Dec 2021. There were four perioperative complications: three bladder injuries (6%) and one rectal serosa injury (2%). Four long-term postoperative complications were identified: one vesicovaginal fistula (2%), one recto-vaginal fistula (2%), and two vaginal stenoses (4%). All patients were physically examined at least one year after surgery. The mean vaginal length was 8.4 + 1.9 cm. The mean FSFI score was 31.5 + 3.9 (minimum score of 24, maximum score of 36).Conclusion: The Uncu-modified Davydov procedure has been demonstrated to be a safe and effective treatment option with high female sexual function index scores for patients with MRKH syndrome. What is new? The long-term complication rate, anatomical and sexual outcomes of Uncu-modified laparoscopic peritoneal pull-down vaginoplasty were reported in this study. The results indicated that the surgical approach could be used in selective MRKH patients who failed first-line self-dilatation therapy.
dc.identifier.doi10.52054/FVVO.15.3.091
dc.identifier.endpage242
dc.identifier.issn2032-0418
dc.identifier.issue3
dc.identifier.startpage235
dc.identifier.urihttps://doi.org/10.52054/FVVO.15.3.091
dc.identifier.urihttps://hdl.handle.net/11452/45788
dc.identifier.volume15
dc.identifier.wos001085786000006
dc.indexed.wosWOS.ESCI
dc.language.isoen
dc.publisherUniversa Press
dc.relation.journalFacts Views And Vision In Obgyn
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLaparoscopic peritoneal vaginoplasty
dc.subjectIntestinal submucosa graft
dc.subjectFunctional outcomes
dc.subjectVaginal agenesis
dc.subjectIndex fsfi
dc.subjectNeovagina
dc.subjectCreation
dc.subjectWomen
dc.subjectConstruction
dc.subjectInterceed
dc.subjectMullerian agenesis
dc.subjectLaparoscopy
dc.subjectNeovaginoplasty
dc.subjectMayer rokitansky kister hauser syndrome.
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectObstetrics & gynecology
dc.titleLong term sexual outcomes of mayer rokitansky küster hauser syndrome patients after uncu-modified davydov procedure
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublicatione229a4fc-e771-4f54-9347-b06f2b9a7ee9
relation.isAuthorOfPublicationcfb5218e-469b-4492-a925-420ed3121068
relation.isAuthorOfPublicationb56773fd-cbbe-433c-8890-bf141bd56434
relation.isAuthorOfPublication8561b7b7-73b2-4dec-a681-9fdc21582789
relation.isAuthorOfPublication.latestForDiscoverye229a4fc-e771-4f54-9347-b06f2b9a7ee9

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