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The most common presentation of congenital absence of the vagina is known as Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.1,2 Several procedures, invasive and noninvasive, have been used for the creation of a neovagina. A technique frequently used for this purpose in China over the last 20 years is rectosigmoid colpopoiesis. Here we report a successful rectosigmoid colpopoiesis done laparoscopically in a patient with MRKH syndrome.