Lower urinary tract symptoms in patients with Mayer-Rokitansky-Kuster-Hauser syndrome after neo-vagina creation by Davydov's procedure.
INTRODUCTION
Lower urinary tract symptoms (LUTS) in subjects with Mayer-Rokitansky-Küster-Hauser syndrome treated by Davydov's laparoscopic neo-vaginoplasty were measured.


METHODS
Davydov's laparoscopic neo-vaginoplasty was undertaken at the Department of Obstetrics/gynecology, San Raffaele Hospital, Milan, Italy, from November 2015 to July 2017, by two highly qualified surgeons. All women completed the ICIQ-UI Short Form questionnaire before and after treatment. LUTS were scored at recruitment, hospitalization, and 1, 3, 6 and 12 months after surgery.


RESULTS
Twenty-one women (mean age 21 years ± 5.9) were operated on with no major complications. Mean surgery duration was 79 min (± 55 min). Before the operation, one patient (1/21; 4.8%) reported occasional urinary loss that persisted after surgery and throughout 12 months of follow-up. After the operation, one patient (1/21; 4.8%) had urinary retention, requiring self-catheterization for 2 weeks. One month after surgery, stress incontinence was recorded in one case (1/19; 5.2%) and urge incontinence in two cases (2/19; 10.5%). At 3-month follow-up, these three patients were free of symptoms.


CONCLUSION
The rate of LUTS is lower than that reported by others using alternative surgical procedures. To the best of our knowledge, this is the first report validating LUTS after Davydov's neo-vaginoplasty.
['Baruch|Yoav|Y|', 'Nale|Roberta|R|', 'Parma|Marta|M|', 'Di Fatta|Simona|S|', 'Fedele|Luigi|L|', 'Candiani|Massimo|M|', 'Salvatore|Stefano|S|']
D058489:46, XX Disorders of Sex Development D000293:Adolescent D000328:Adult D000013:Congenital Abnormalities D005260:Female D006801:Humans D007558:Italy D059411:Lower Urinary Tract Symptoms D009095:Mullerian Ducts D019651:Reconstructive Surgical Procedures D014621:Vagina D055815:Young Adult
Mayer-Rokitansky-Küster-Hauser syndrome Davydov’s procedure Neovagina Vaginal agenesis