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Updated: Jul 8, 2026
Laparoscopic Oocyte Retrieval and Cryopreservation during Vaginoplasty for Treatment of Mayer-Rokitansky-Kuster-Hauser Syndrome
Published on: May 10, 2022
Laparoscopic uterovaginal anastomosis in Mayer-Rokitansky-Küster-Hauser syndrome with functioning horn
Daniel Raudrant1, Gihad Chalouhi, Jean Dubuisson
1Department of Gynecology, Hôtel Dieu de Lyon Hospital, Lyon, France.
Objective:
To reestablish uterovaginal continuity using a total laparoscopic procedure in Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome with a functioning right horn.
Design:
Case report.
Setting:
University hospital of Hotel Dieu de Lyon.
Patient(S):
A 13-year-old woman with cyclic abdominal pain. We diagnosed MRKH syndrome with cyclic pain due to a hematometra in a functioning right horn associated to a right hematosalpinx and a nonfunctioning left horn.
Intervention(S):
Reestablishing uterovaginal continuity with excision of the left rudimentary horn via a total laparoscopic procedure.
Main Outcome Measure(S):
Restoring regular menstruation.
Result(S):
After total laparoscopic uterovaginal anastomosis and excision of the left nonfunctioning horn, the patient's menstruation resumed 3 months later, and regular, unimpeded menstrual flow was still present at the 2-year-follow-up evaluation.
Conclusion(S):
Total laparoscopic reestablishment of uterovaginal continuity in MRKH syndrome with a functioning horn is a valuable alternative to the currently recommended treatment (laparotomy and radical excision of the rudimentary uterus).
