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Hum. Reprod. Advance Access originally published online on August 17, 2006
Human Reproduction 2006 21(12):3287-3289; doi:10.1093/humrep/del315
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Laparoscopic creation of a neovagina and recovery of menstrual function in a patient with Rokitansky syndrome: A Case Report

L. Fedele1,3, S. Bianchi1, N. Berlanda2, A. Bulfoni2 and E. Fontana1

1 Dipartimento di Ostetricia, Ginecologia e Neonatologia, Fondazione ‘Policlinico-Mangiagalli-Regina Elena’, Università di Milano and 2 Clinica Ostetrico-Ginecologica dell’Università di Milano, Ospedale San Paolo, Milano, Italia

3 To whom correspondence should be addressed at: Clinica Ostetrica e Ginecologica II, Università di Milano, Istituto Luigi Mangiagalli, Via della Commenda 10, 20122 Milano, Italy. E-mail: luigi.fedele{at}unimi.it

A 16-year-old woman experiencing primary amenorrhoea and cyclic pelvic pain was diagnosed with Rokitansky syndrome, which was characterized by the absence of the uterus and the upper two-thirds of the vagina, normal salpinges and ovaries and a 4 x 3cm Müllerian remnant containing functioning endometrium located near the left adnexa. With a combined laparoscopic-vaginal operation, the remnant was anastomized with the apex of the retrohymenal fovea. The operation allowed not only the creation of a neovagina but also the recovery of a regular menstrual activity and the theoretical restoration of the reproductive capacity of this patient. An accurate pre- and intra-operative evaluation of patients with Rokitansky syndrome is necessary to identify those who might benefit from this procedure.

Key words: laparoscopic surgery/Müllerian anomalies/primary amenorrhea/Rokitansky syndrome


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