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  • Title: Laparoscopic sacrocolpopexy to treat prolapse of the neovagina created by vaginal dilation in Rokitansky syndrome.
    Author: Christopoulos P, Cutner A, Vashisht A, Creighton SM.
    Journal: J Pediatr Adolesc Gynecol; 2011 Apr; 24(2):e33-4. PubMed ID: 21126895.
    Abstract:
    BACKGROUND: Vaginal dilation is the first choice of treatment for women with a short vagina due to Rokitansky syndrome. Although the neovagina lacks pelvic support, prolapse of the neovagina is a surprisingly rare complication of treatment. Laparoscopic sacrocolpopexy is recommended in the treatment of posthysterectomy vault prolapse in younger women but has not been used to treat neovaginal prolapse. CASE: A 23-year-old woman with Rokitansky syndrome presented with a symptomatic prolapse of the neovagina. This was successfully treated with a laparoscopic sacrocolpopexy. SUMMARY AND CONCLUSIONS: Laparosopic sacrocolpopexy appears to be an effective treatment in the unusual situation of vaginal prolapse after dilation.
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