PFD Week 2016-Relieving Menstrual Obstruction: Surgical Correction of Vaginal Agenesis

Relieving Menstrual Obstruction: Surgical Correction of Vaginal Agenesis

Video Transcription

Video Summary

This video outlines a surgical technique for creating a cervical and vaginal canal to relieve menstrual obstruction in an adolescent with a rare variant of Meyer-Rokotansky-Kuster-Hauser syndrome. The patient had a functional uterus with hypoplastic distal cervical development and vaginal atresia. The video explains that MRKH syndrome includes patients with congenital vaginal agenesis and varied uterine development. The patient's cultural considerations were taken into account, as marriage is arranged in her culture and the patient is expected to retain her virginal anatomy until the wedding. The surgery aimed to alleviate cyclic pelvic pain and create a channel for menstruation. The patient's recovery was successful, resulting in a healed vaginal canal and regular menses without pain.

Asset Subtitle

Jennifer Schmitt, MD

Keywords

surgical technique

cervical and vaginal canal

menstrual obstruction

Meyer-Rokotansky-Kuster-Hauser syndrome

MRKH syndrome