Abstract

Mayer–Rokitansky–Kuster–Hauser Syndrome Type I is an emotionally distressful rare condition that limits normal sexual functioning and relationships. First described in 1989 by Wee and Joseph, the neurovascular island pudendal thigh flap (Singapore flap) has been variously utilized and modified for use in vaginal reconstruction. We report two adult cases of vaginal agenesis who underwent vaginal reconstruction using the Singapore flap. Both patients reported improved sexual lifestyle. Keywords: Island Singapore flap, Vaginoplasty, Mayer–Rokitansky–Kuster–Hauser syndrome Type I

Highlights

  • Vaginal agenesis can present as isolated Müllerian aplasia or Mayer–Rokitansky–Küster–Hauser syndrome type I with an incidence of 1 per 4,500–5,000 females [1]

  • We present two adult cases of Mayer– Rokitansky–Küster–Hauser syndrome type I that underwent vaginoplasty using the island Singapore flap: the first such report in Kenya

  • The patient reported ability to engage in vaginal sexual intercourse at the 6-month review, and during her annual review further asserted that she was happier with sexual lifestyle

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Summary

Case report

Summary Mayer–Rokitansky–Küster–Hauser Syndrome Type I is an emotionally distressful rare condition that limits normal sexual functioning and relationships. First described in 1989 by Wee and Joseph, the neurovascular island pudendal thigh flap (Singapore flap) has been variously utilized and modified for use in vaginal reconstruction. We report two adult cases of vaginal agenesis who underwent vaginal reconstruction using the Singapore flap.

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Infection control measures among dental health care workers
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