Laparoscopic Creation of a Neovagina in Mayer-Rokitansky-Küster-Hauser Syndrome

Video Objective To show the step by step procedure of a neovagina creation in Mayer-Rokitansky-Kuster-Hauser Syndrome. Setting 22-year-old patient with primary amenorrhea, normal feminine phenotype development and vaginal agenesis on clinical examination. Pelvic ultrasound noted uterine agenesis. Mayer-Rokitansky-Kuster-Hauser Syndrome was diagnosed. Interventions A Neovagina was created with simultaneous laparoscopic and perineal approach. Surgery lasted 1 hour. Patient uses dilators to maintain a functional neovagina. Conclusion We believe this technique is simple, requires no special instruments and is fully reproductible with basic laparoscopic and vaginal surgical training. A correct understanding of surgical anatomy in each individual case warrants excellent results.