Pioneering robotic-assisted Davydov vaginoplasty for Mayer-Rokitansky-Küster-Hauser syndrome

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a disorder marked by the congenital absence of the uterus and vagina. Patients with this condition often present with primary amenorrhoea and normal secondary sexual characteristics. The diagnosis of MRKH syndrome has profound implications for a patient's fertility and psychological well-being, necessitating a multidisciplinary approach that includes psychosocial support. We present a case of a young woman with MRKH syndrome who underwent robot-assisted Davydov's vaginoplasty for neovaginal creation. The procedure used the enhanced precision and visualisation of robotic technology, resulting in the successful formation of a 7 cm neovagina with minimal postoperative complications. The robotic approach to Davydov vaginoplasty, though relatively unexplored in MRKH syndrome, presents several advantages over conventional methods, including greater surgical precision, reduced operative time and quicker recovery. This case highlights the potential benefits of robotic-assisted surgery in MRKH syndrome, offering improved outcomes and contributing to the limited literature on this advanced surgical approach.