Effects of different vaginal mould use approaches after vaginoplasty with artificial dermis in patients with Mayer-Rokitansky-Kuster-Hauser syndrome

Objective To assess the therapeutic effects of different vaginal mould use approaches after vaginoplasty in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Methods Patients with MRKH syndrome who underwent surgery from 2010 to 2015 in our hospital were retrospectively evaluated. Vaginoplasty was performed with artificial dermis, and vaginal moulds were used for 6 months postoperatively. The patients were divided into an intermittent group and continuous group according to the vaginal mould approach. Results Thirty-five patients were evaluated (intermittent group, 19 patients; continuous group, 16 patients). One month postoperatively, the mean vaginal length and width in the intermittent group were 9.26 +/- 0.56 and 3.82 +/- 0.25 cm, respectively, and those in the continuous group were 9.44 +/- 0.51 and 3.86 +/- 0.22 cm, respectively. Six months postoperatively, the mean vaginal length and width in the intermittent group were 8.94 +/- 0.71 and 3.76 +/- 0.26 cm, respectively, and those in the continuous group were 8.69 +/- 0.48 and 3.65 +/- 0.30 cm, respectively. The mean Female Sexual Function Index scores in the intermittent and continuous groups were 28.61 +/- 0.71 and 28.4 80 +/- 0.79 respectively, after normal sexual life. Conclusion Both intermittent and continuous use of postoperative vaginal moulds may be effective.

Automated summary

Both intermittent and continuous use of postoperative vaginal moulds may be effective in maintaining vaginal length and width postoperatively for patients with MRKH syndrome after vaginoplasty.