Vaginal vault prolapse in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome: a video case presentation

Introduction and hypothesis Several reports have described vaginal prolapse in Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome patients after creation of a neovagina. To our knowledge, no reports of primary vaginal prolapse of a blind pouch without previous intervention, or surgery for this condition, have been described. Methods In this case report, we describe a 19-year-old woman with MRKH and complete prolapse of her shortened vaginal pouch. Surgical correction utilizing permanent suture-based sacrospinous ligament fixation was performed. Results The patient had a successful outcome. Conclusions Sacrospinous ligament fixation provided a safe and effective method for the management of vaginal pouch prolapse. Long-term follow-up is planned. To our knowledge, this is the first report describing surgical repair of primary prolapse of a blind vaginal pouch in the setting of MRKH.