Creation of a neovagina according to Wharton-Sheares-George in patients with Mayer-Rokitansky-Kuster-Hauser syndrome

Objective: To introduce a simple and quick surgical alternative for creating a neovagina in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome that offers good anatomic and functional results. Design: Historical report. Setting: Tertiary center for gynecologic endocrinology. Patient(s): Three patients with MRKH syndrome. Intervention(S): The creation of a neovagina according to Wharton-Sheares-George in patients with MRKH syndrome. Main Outcome Measure(s): Axis, length, and width of neovagina. Result(s): The George modification of the Wharton-Sheares neovaginoplasty was successfully performed in three patients. The results were excellent (normal axis and adequate length and width of neovagina), and there were no major complications. Conclusion(s): The George modification of the Sheares technique represents a simple, safe, and effective surgical option for creating a neovagina. The procedure is not highly complex and is therefore easy to learn and perform; no special surgical equipment is needed. Anatomic and functional results are very satisfying. Short-term hospitalization, accelerated recovery, and a rapid return to everyday life are important benefits for these young patients. These benefits also result in lower surgery-related expenses and therefore reduce the strain on the hospital's budget compared with other therapeutic options. The creation of a neovagina according to Wharton-Sheares-George might provide a satisfactory alternative for the surgical management of vaginal aplasia in patients with MRKH syndrome. (Fertil Steril(R) 2005;83:437-41. (C) 2005 by American Society for Reproductive Medicine).