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
Summary
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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