1. Surgical Correction of Vaginal Agenesis via  Vecchietti Procedure

A 18-year old female presented to pediatric gynecology clinic with primary amenorrhea. She had age appropriate secondary sex characteristics (breast and pubic hair Tanner 5) and a shallow 1.5 cm vagina. Work up included Estradiol 94 pg/ml, TSH 1.34 uIU/ml, Prolactin 7.2 ng/ml, FSH 4.9 mIU/ml and LH 18.4 mIU/ml and 46 XX karyotype. Pelvic ultrasound showed rudimentary uterine horns and normal ovaries. Patient had normal kidneys and spine. Diagnosis of MRKH syndrome was made. She attempted vaginal dilation for nine months which was not successful.
Source: Journal of Pediatric and Adolescent Gynecology - Category: OBGYN Authors: Tags: (1) Source Type: research