Dr. Reed, I’ve been told I have congenital absence of the upper portion of my vagina and uterus secondary to the Rokitansky syndrome. My depth is only about 2 inches. What would you suggest to enhance my vaginal depth? Clara
The Rokitansky syndrome also known as the Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), relates to failure of the Mullerian duct to develop, resulting in a missing uterus and variable degrees of proximal vaginal hypoplasia or agensesis. Because your vagina may in part be intraperitoneal (inside the abdominal cavity) I would propose a colonic extension . In this procedure a portion of your sigmoid colon is sequestered as a segment and attached to an opened top portion of your vagina.
For vaginal atresia occurring in MTF patients we have employed and written about out non-grafted approach. his spares the need for colon surgery.
Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our experience and Survey of Related Procedures.
Please visit our web-site for s of our MTF vaginoplasty results. srsMiami.com/vaginoplasty
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami