Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser syndrome

Objective: To investigate the functional and sexual outcome of sigmoid vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Design: Prospective study. Setting: University hospital. Patient(s): Fifty-nine consecutive patients with MRKH syndrome. Intervention(s): Forty-eight patients underwent sigmoid vaginoplasty, and 11 were treated using the Frank method of dilatation. Main Outcome Measure(s): Functional results and sexuality were evaluated with the use of two standardized questionnaires: the Female Sexual Function Index (FSFI) and the revised Female Sexual Distress Scale (FSDS-R). Questions were added to analyze depression, body image perception, and desire of motherhood. Result(s): Out of the 68% of patients who answered the questionnaire, 73% had regular sexual intercourse. The mean total FSFI score was 28 +/- 3.1 in the operated group and 30 +/- 5.3 in the group treated with the Frank method. Their mean FSDS-R scores were 21 +/- 12.1 and 18 +/- 13.8, respectively. Conclusion(s): Sigmoid vaginoplasty is an effective technique providing a nearly normal sexual function to patients with vaginal aplasia. Despite this, psychologic distress related to sexuality persists in most patients, demonstrating the need for a multidisciplinary support. (Fertil Steril (R) 2012; 97: 691-6. (C) 2012 by American Society for Reproductive Medicine.)