A Case of Vaginal Prolapse after McIndoe Operation Managed by Transvaginal Sacrospinous Colpopexy.

Hwang, Seong Jin; Son, Jung Bin; Kim, Hyun Kyung; Bae, Jeong Hoon; Cheon, So Hee; Lee, Dong Hyun; Park, In Yang; Kim, Chang Yi

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(9):1824-1827.
Published online September 1, 2004.

A Case of Vaginal Prolapse after McIndoe Operation Managed by Transvaginal Sacrospinous Colpopexy.

Seong Jin Hwang, Jung Bin Son, Hyun Kyung Kim, Jeong Hoon Bae, So Hee Cheon, Dong Hyun Lee, In Yang Park, Chang Yi Kim

Department of Obstetrics and Gynecology, College of Medicine, Catholic University of Korea, Seoul, Korea.

Abstract

McIndoe procedure using the colonic segment has been used in treatment of patients with Mullerian agenesis. Prolapse of a colonic neovagina is rare condition and its treatment is not yet standardized. We experienced a case of neovaginal prolapse following McIndoe procedure using colonic segment. A 51-year-old woman developed prolapse of a neovagina 17 years after the McIndoe operation. She had been diagnosed to have Mullerian agenesis and was managed by McIndoe operation using colonic segment. The prolapse was successfully managed with transvaginal sacrospinous colpopexy. She has no sign of recurrent prolapse and is satisfied with sexual intercourse. Patients with neovaginal prolapse following McIndoe procedure can be treated successfully with transvaginal sacrospinous colpopexy.

Key Words: Mullerian anomaly, McIndoe operation, Neovaginal prolapse, Sacrospinous colpopexy