Laparoscopic peritoneal vaginoplasty with rudimentary uterus resection for Mayer-Rokitansky-Küster-Hauser syndrome: Technical details with video

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, a congenital condition of vaginal and uterine agenesis, has significant impacts on patients' physical and psychosocial health. Vaginal construction is considered the intervention of choice for mature patients who intend to initiate sexual activity. However, existing surgical approaches, such as the McIndoe vaginoplasty and the Davydov vaginoplasty, are limited by their invasiveness, technical complexity and associated risk of complications. This study aims to present laparoscopic peritoneal vaginoplasty (Luohu II technique) combined with bilateral resection of the rudimentary uterus as a surgical intervention for MRKH syndrome. An 18-year-old patient presenting with primary amenorrhea underwent a comprehensive diagnostic evaluation, which confirmed the diagnosis of MRKH syndrome. The patient subsequently underwent definitive surgical management with laparoscopic peritoneal vaginoplasty (Luohu II technique) and bilateral resection of the rudimentary uteri. The surgery took 1 h, with an intraoperative blood loss of 20 mL. After instruction on postoperative self-dilation, the patient achieved a neovaginal dimensions of 11 cm in length and 2.5 cm in width at the six-month follow-up. Laparoscopic peritoneal vaginoplasty (Luohu II technique) is a safe, effective, and minimally invasive procedure for patients with MRKH syndrome that offers satisfactory anatomical and functional outcomes.