Abstract
There is a paucity of research on psychosexual outcomes after neo-vaginoplasty in
women with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. We compared anatomical
and psychosexual outcomes between women with MRKH syndrome who had undergone vaginoplasty
and age-matched, sexually active, childless women. Outcomes were assessed using the
female sexual function index (FSFI), World Health Organization Disability Assessment
Schedule (WHODAS 2.0), General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire
(PHQ-9) tools. Although mean vaginal length was shorter in women with MRKH syndrome
than controls (8.6 ± 1.8 cm vs 9.3 ± 2.6 cm), FSFI scores were comparable in both
groups (27.8 ± 1.4 vs. 27.3 ± 4.1). Women with MRKH syndrome reported fewer depressive
symptoms, and WHODAS 2.0 scores were comparable in both groups (8.9 ± 2.4 vs. 7.8
± 6.7). Therefore, psychosexual outcomes for women who had undergone neo-vaginoplasty
for MRKH syndrome were not different from those of the general population.
Résumé
On accuse un manque d’études sur le devenir psychosexuel à la suite d’une vaginoplastie
chez les femmes atteintes du syndrome de Mayer-Rokitansky-Küster-Hauser (MRKH). Nous
avons comparé le devenir anatomique et psychosexuel entre les femmes atteintes du
syndrome de MRKH ayant subi une vaginoplastie et les femmes du même âge étant sexuellement
actives et sans enfants. Le devenir a été évalué au moyen de l’indice de fonction
sexuelle féminine (FSFI), de l’instrument d’évaluation du handicap de l’Organisation
mondiale de la Santé (WHODAS 2.0), du questionnaire sur le trouble anxieux généralisé
GAD-7 et du questionnaire sur la santé du patient (PHQ-9). Bien que la longueur vaginale
moyenne était plus courte chez les femmes atteintes du syndrome de MRKH que dans le
groupe témoin (8,6 ± 1,8 cm p/r à 9,3 ± 2,6 cm), les scores de FSFI étaient comparables
(27,8 ± 1,4 p/r à 27,3 ± 4,1). Les femmes atteintes du syndrome de MRKH ont signalé
moins de symptômes dépressifs et les scores du WHODAS 2.0 étaient comparables entre
les deux groupes (8,9 ± 2,4 p/r à 7,8 ± 6,7). Par conséquent, le devenir psychosexuel
chez les femmes ayant subi une vaginoplastie en raison du syndrome de MRKH n’était
pas différent de celui dans la population générale.
Keywords
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Article info
Publication history
Published online: April 26, 2022
Received in revised form:
March 23,
2022
Received:
January 10,
2022
Footnotes
Disclosures: The authors declare they have nothing to disclose.
Both authors have indicated they meet the journal’s requirements for authorship.
Identification
Copyright
© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
