Rectosigmoid vaginoplasty in patients with vaginal agenesis: sexual and psychosocial outcomes

The main goal in women with Mayer-Rokitansky-Küster-Hauser syndrome (vaginal agenesis) is creation of a neovagina that will satisfy the patient's desire. We evaluated sexual and psychosocial adjustment in patients who underwent rectosigmoid vaginoplasty because of vaginal agenesis. A total of 3...

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Bibliographic Details
Published in:	Sexual health Vol. 8; no. 3; p. 427
Main Authors:	Labus, Ljiljana D, Djordjevic, Miroslav L, Stanojevic, Dusan S, Bizic, Marta R, Stojanovic, Borko Z, Cavic, Tamara M
Format:	Journal Article
Language:	English
Published:	Australia 01-01-2011
Subjects:	46, XX Disorders of Sex Development - psychology 46, XX Disorders of Sex Development - surgery Abnormalities, Multiple - psychology Abnormalities, Multiple - surgery Adult Colon, Sigmoid - surgery Congenital Abnormalities Depressive Disorder - diagnosis Depressive Disorder - psychology Female Gynecologic Surgical Procedures - methods Gynecologic Surgical Procedures - psychology Humans Kidney - abnormalities Mullerian Ducts - abnormalities Patient Satisfaction Reconstructive Surgical Procedures - methods Reconstructive Surgical Procedures - psychology Sexual Behavior Social Adjustment Social Support Somites - abnormalities Spine - abnormalities Surveys and Questionnaires Uterus - abnormalities Uterus - surgery Vagina - abnormalities Vagina - surgery Young Adult
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Summary:	The main goal in women with Mayer-Rokitansky-Küster-Hauser syndrome (vaginal agenesis) is creation of a neovagina that will satisfy the patient's desire. We evaluated sexual and psychosocial adjustment in patients who underwent rectosigmoid vaginoplasty because of vaginal agenesis. A total of 36 women, aged 21 to 38 years (mean=26) who underwent rectosigmoid vaginoplasty from 1997 to 2006 were evaluated. Sexual and psychosocial appraisal included the Female Sexual Function Index (FSFI), Beck's Depression Inventory (BDI), and standardised questionnaires about postoperative satisfaction, social and sexual adjustment. Mean FSFI score was 28.9 (range=11.5-35.7) with a cut-off score of 26.55 for sexual dysfunction. Out of the 36 women, 10 (27, 8%) had sexual dysfunction. Mean BDI score was 7.55 (cut-off score=0-9 for non-depression). Twenty-eight women (77.8%) were without symptoms of depression, six women (BDI range=10-29) had moderate and two women had severe depression (BDI=42). There were a significant number of patients (P<0.01) with a high satisfaction score in FSFI and low BDI results. Thirty-two (88.9%) of the patients believed that surgery was done at the right time and the main postoperative support came from their family. Thirty-four (94.4%) of the patients reported satisfactory femininity, with a heterosexual orientation. Thirty patients (83. 3%) were very satisfied with the surgery, while 34 considered surgery as the best treatment. The sexual function and psychosocial status of these patients should be followed long-term to estimate their quality of life.
ISSN:	1448-5028
DOI:	10.1071/SH10105