Author(s): Gatti C, Del Rossi C, Lombardi L, Caravaggi F, Casolari E,
Abstract Share this page
Abstract PURPOSE: We examined sexuality and psychosocial functioning in patients with Mayer-Rokitansky-Kuster-Hauser syndrome who underwent colovaginoplasty. MATERIALS AND METHODS: Patients who underwent colovaginoplasty for Mayer-Rokitansky-Kuster-Hauser syndrome in Italy and Bangladesh were required to meet certain criteria, including age greater than 18 years, college degree/high socioeconomic status, procedure done by the same surgical team and a minimum 6-year followup. Outcomes were evaluated by a retrospective chart review and an English version of the female sexual function index. Psychosocial functioning was measured by an English version of a 36-item survey, including the Rosenberg Self-Esteem Scale, Beck Depression Index and Cohen Test for Life Management ability with results compared to those in 30 healthy control subjects. RESULTS: Of 40 patients who answered the female sexual function index 37\% were married and 12\% had adopted children while 40\% were sexually active, 100\% were attracted to males and 7\% were on self-dilation. None required pads and 80\% used a home douche. Of the patients 92\% reported sexual desire and 87\% reported sexual arousal. Sexual confidence and satisfaction were reported by approximately 90\% of the patients and partner satisfaction was considered adequate by 93\%. Most patients reported satisfactory orgasm. Of the women 89\% reported adequate lubrication and none reported dyspareunia. Psychosocial functioning was not statistically different between patients and controls. CONCLUSIONS: Based on the scoring system outcome colovaginoplasty seems to be an excellent choice to manage vaginal agenesis and ensure good quality of general and sexual life. Copyright © 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
This article was published in J Urol
and referenced in Reproductive System & Sexual Disorders: Current Research