Vaginoplasty Using Sheare’s Method Followed by Amnion Graft in Patients of Vaginal Agenesis Associated with Mayer-Rokitansky-Kuster-Hauser Syndrome

Abstract

Objective: To evaluate outcome of vaginoplasty by Sheare’s method followed by amnion graft in cases of vaginal agenesis due to Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Study Design: Descriptive observational. Place & Duration: Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad from 1^st January 2012 to 31^st December, 2014. Methodology: Nine patients with MRKH syndrome underwent vaginoplasty by Sheare’s method in which the space between two labia was dilated with Heagar’s dilator along the vestigial Mullerian ducts. Thus two tunnels were created and the central septum excised to form a single vagina. A mould covered with amnion was then placed in the neovagina. All cases were followed up for six months. Results: Amnion graft was taken completely and presented no intra-operative or post-operative complications in all 9 cases. There was contracture of neovagina in one case only and this was due to non-compliance with continued mould placement after discharge from Hospital. Conclusion: Sheare’s method of vaginoplasty followed by amnion graft is an easy procedure with minimal or no complications and provides excellent anatomic and cosmetic results.