Sexual Life of Women With Mayer-Rokitansky- Kuster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty
Abstrakt
Introduction: Adequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Kuster-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 ScaleeRevised (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.