Category Archives: Rokitansky syndrome with loss of vaginal depth

(FAQ) Rokitansky syndrome need vaginal depth | Dr. Reed | The Reed Centre

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

Dear 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.

Aesthetic Plast Surg. 2015 Oct;39(5):733-44. doi: 10.1007/s00266-015-0523-7. Epub 2015 Jul 11.

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.

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami