Laparoscopic Creation of a Neovagina in Women with MRKH Syndrome -A New Look to an Old Problem

ObjectiveReproducible, easy and safe laparoscopic technique of vaginoplasty in Rokitansky syndrome using peritoneum for anterior wall and rectum for posterior wall of neovagina with good long term patient satisfaction. Design Stepwise demonstration of technique SettingRokitansky syndromes incidence is 1 in 4000 new born girls due to developmental failure of mullerian ducts characterized by partial or total agenesis of vagina and uterus.Phenotypically and genotypically female, patients present with primary amenorrhea.Laparoscopic vaginoplasty will enable them to have a conjugal life and genetic pregnancy by surrogacy.