602 Robot Assisted Modified Davydov Vaginoplasty for MRKH Syndrome

Dr. Anupama Bahadur

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is characterized by congenital absence of vagina and uterus. Typically, vagina may be present as a small dimple, accompanied by rudimentary uterine structures and normally functioning ovaries. This syndrome occurs in approximately 1 in 4500–5000 women resulting from underdevelopment of Mullerian duct during embryonic development, leading to the absence of the vagina and/or uterus. Patients exhibit primary amenorrhoea, have normal external genitalia and display well-developed secondary sexual characteristics, typical female phenotype and 46XX karyotype. Investigations involve 3D ultrasonography and hormonal assays. 53% of MRKH syndrome cases have associated congenital anomalies, primarily renal and musculoskeletal, which are most accurately diagnosed using an MRI. Davydov’s colpopoiesis is a vaginoplasty technique that uses the patient’s peritoneum as a graft to form the neovagina. The transition to robotic assisted procedures in vaginoplasty represents a significant advancement, leveraging medical technology to overcome the limitations of traditional methods and improved patient outcomes.
Gynecologic Surgery, Procedure Innovation

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