LAPAROSCOPIC NEOVAGINA IN ADOLESCENT WITH MAYER-ROKITANSKY-KÜSTER-HAUSER SYNDROME

Abstract

The Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital anomaly characterized by aplasia or hypoplasia of the uterus and the upper two-thirds of the vagina, while the ovaries maintain normal function, allowing the development of normal female secondary sexual characteristics. This condition affects approximately 1 in every 4,500 women and is usually diagnosed during adolescence due to primary amenorrhea in patients with normal pubertal development. Early diagnosis and adequate planning for the anatomical and functional restoration of the neovagina are of great importance, considering the impact of this condition not only on physical health but also on the psychological well-being and quality of life of patients. The creation of a neovagina represents one of the main therapeutic goals, for which various surgical and non-surgical techniques are available. In recent years, minimally invasive surgery, particularly laparoscopic vaginoplasty, has emerged as a favorable option for vaginal reconstruction, combining good functional outcomes with lower morbidity and faster recovery. This case describes the experience of an adolescent patient diagnosed with MRKH syndrome who underwent this surgical approach, highlighting the particularities of management, potential complications, and functional outcomes obtained.