Robot-assisted vaginal construction using ileum in a case of Mayer-Rokitansky-Küster-Hauser syndrome

Congenital absence of the vagina is a rare condition commonly associated with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, Morris Syndrome, and XY sex reversal. Secondarily this condition may be caused by exenteration of various pelvic tumors. Surgical options for treating this devastating condition include external vaginal dilation, internal dilation using traction devices, and vaginal construction using flaps of skin, bladder, or various bowel segments. We describe our innovative surgical technique employing robotic assistance in the creation of a neo-vagina for a young woman with MRKH syndrome. To the best of our knowledge this is the first report of this surgical technique.