The introduction of a purposeful vagina could be very crucial in sufferers with mayer-rokitansky-hauser-syndrome (mrkh). Many surgical techniques had been defined for vaginal reconstruction in mrkh. They may be classified as nearby, nearby and distant flaps. We evaluated the surgical techniques utilized in our center and in comparison the outcome and complications. The mayer-rokitansky-kuster-hauser (mrkh) syndrome is a unprecedented anomaly characterised with the aid of congenital aplasia of the uterus and vagina in girls showing everyday development of secondary sexual characters and ordinary 44 xx karyotype. We report our revel in inside the management of two sufferers with congenital absence of the vagina due to the mrkh syndrome. The primary case become a 24-year-antique scholar, who supplied with number one amenorrhea, uterovaginal agenesis, proper pelvi-ureteric junction obstruction, and left renal agenesis. The second one affected person become a 24-12 months-old housewife, who offered with primary amenorrhea and inability to obtain penetrative sexual sex. She had vaginal atresia and a grossly hypoplastic uterus. Both had a hit sigmoid colovaginoplasty and are sexually active.
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