PFD Week 2016-A Rare Case of Vaginal Vault Prolapse and Surgical Management in a Patient with Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome

A Rare Case of Vaginal Vault Prolapse and Surgical Management in a Patient with Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome

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Video Transcription

Video Summary

Summary: In this video, a rare case of vaginal prolapse in a 19-year-old with Meyer-Rokitansky-Kuster-Hauser syndrome is discussed. The patient presented with symptoms of constant pressure and irritation, along with anxiety and unhappiness. Non-surgical options such as observation or a pessary fitting were discussed, but surgery was eventually chosen. The patient used vaginal dilators, estradiol cream, and physical therapy for four months to prepare for the surgery. A suture-based sacrospinous ligament fixation was performed, resulting in optimal suspension of the vaginal apex. The patient had minimal pain post-surgery and was discharged after one day. She is happy with the surgical outcome and all symptoms have been resolved.<br /><br />Credit: The video transcript does not provide any specific credits.

Asset Subtitle

Carolyn Botros, MD

Meta Tag

Category Surgery - Congenital Anomalies

Category Surgery - Vaginal Procedures

Category Pelvic Organ Prolapse

Concept De novo vaginal pouch prolapse

Concept Müllerian Agenesis

Concept Sacrospinous Suspension

Concept Non-surgical Management

Concept Apical suspension

Keywords

vaginal prolapse

Meyer-Rokitansky-Kuster-Hauser syndrome

non-surgical options

surgery

sacrospinous ligament fixation

Surgery - Congenital Anomalies

Surgery - Vaginal Procedures

Pelvic Organ Prolapse

De novo vaginal pouch prolapse

Müllerian Agenesis

Sacrospinous Suspension

Non-surgical Management

Apical suspension