Abstract
<h3>Study Objective</h3> Laparoscopic management of MRKH syndrome and use of near ideal vaginal mold made up from locally readily available materials in a rural settings. <h3>Design</h3> Laparoscopic surgery in a diagnosed case of MRKH syndrome and follow up for 1 year and parameter which analysed were 1. Ability to perform sexual intercourse by the couple 2. Pain while using vaginal mold 3. Vaginal length at 6 months and 1 year. <h3>Setting</h3> Semi lithotomy position. <h3>Patients or Participants</h3> A diagnosed case of MRalH syndrome. <h3>Interventions</h3> Laparoscopic surgery and use of special vaginal mold for 6 weeks. <h3>Measurements and Main Results</h3> Vaginal length achieved was 7 to 8 cm, couple found to be performing sexual intercourse satisfactorily, vaginoscopy after 6 weeks showed good epithelization. <h3>Conclusion</h3> 1. Use of soft vaginal mold is associated with lesser pain, and 2. Laparoscopic Peritoneal pull through technique has satisfactory results with apt vaginal length.
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