{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:54:40Z","timestamp":1768319680134,"version":"3.49.0"},"reference-count":16,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":5126,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,8,17]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The main goal in women with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome (vaginal agenesis) is creation of a neovagina that will satisfy the patient\u2019s desire. We evaluated sexual and psychosocial adjustment in patients who underwent rectosigmoid vaginoplasty because of vaginal agenesis. Methods: A total of 36 women, aged 21 to 38 years (mean = 26) who underwent rectosigmoid vaginoplasty from 1997 to 2006 were evaluated. Sexual and psychosocial appraisal included the Female Sexual Function Index (FSFI), Beck\u2019s Depression Inventory (BDI), and standardised questionnaires about postoperative satisfaction, social and sexual adjustment. Results: Mean FSFI score was 28.9 (range = 11.5\u201335.7) with a cut-off score of 26.55 for sexual dysfunction. Out of the 36 women, 10 (27, 8%) had sexual dysfunction. Mean BDI score was 7.55 (cut-off score = 0\u20139 for non-depression). Twenty-eight women (77.8%) were without symptoms of depression, six women (BDI range = 10\u201329) had moderate and two women had severe depression (BDI = 42). There were a significant number of patients (P &amp;lt; 0.01) with a high satisfaction score in FSFI and low BDI results. Thirty-two (88.9%) of the patients believed that surgery was done at the right time and the main postoperative support came from their family. Thirty-four (94.4%) of the patients reported satisfactory femininity, with a heterosexual orientation. Thirty patients (83. 3%) were very satisfied with the surgery, while 34 considered surgery as the best treatment. Conclusions: The sexual function and psychosocial status of these patients should be followed long-term to estimate their quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh10105","type":"journal-article","created":{"date-parts":[[2011,11,9]],"date-time":"2011-11-09T23:14:18Z","timestamp":1320880458000},"page":"427-430","source":"Crossref","is-referenced-by-count":31,"title":["Rectosigmoid vaginoplasty in patients with vaginal agenesis: sexual and psychosocial outcomes"],"prefix":"10.1071","volume":"8","author":[{"given":"Ljiljana D.","family":"Labus","sequence":"first","affiliation":[{"name":"ASchool of Medicine, University of Belgrade, 11000 Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miroslav L.","family":"Djordjevic","sequence":"additional","affiliation":[{"name":"ASchool of Medicine, University of Belgrade, 11000 Belgrade, Serbia."},{"name":"BCorresponding author. Email: djordjevic@uromiros.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dusan S.","family":"Stanojevic","sequence":"additional","affiliation":[{"name":"ASchool of Medicine, University of Belgrade, 11000 Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta R.","family":"Bizic","sequence":"additional","affiliation":[{"name":"ASchool of Medicine, University of Belgrade, 11000 Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Borko Z.","family":"Stojanovic","sequence":"additional","affiliation":[{"name":"ASchool of Medicine, University of Belgrade, 11000 Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara M.","family":"Cavic","sequence":"additional","affiliation":[{"name":"ASchool of Medicine, University of Belgrade, 11000 Belgrade, Serbia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2011,8,17]]},"reference":[{"key":"2025102616592052800_R1","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1007\/s004040050225","article-title":"The Mayer\u2013Rokitansky\u2013Kuster syndrome. An analysis of its morphology and embryology.","volume":"262","author":"Ludwig","year":"1998","journal-title":"Arch Gynecol Obstet"},{"key":"2025102616592052800_R2","doi-asserted-by":"publisher","first-page":"1036","DOI":"10.1016\/S0015-0282(01)02836-9","article-title":"Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer\u2013Rokitansky\u2013Kuster\u2013Hauser syndrome.","volume":"76","author":"Creatsas","year":"2001","journal-title":"Fertil Steril"},{"key":"2025102616592052800_R3","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1016\/S0002-9378(38)90400-4","article-title":"The formation of an artificial vagina without operation.","volume":"35","author":"Frank","year":"1938","journal-title":"Am J Obstet Gynecol"},{"key":"2025102616592052800_R4","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1111\/j.1471-0528.1938.tb11141.x","article-title":"An operation for the cure of congenital absence of the vagina.","volume":"45","author":"McIndoe","year":"1938","journal-title":"J Obstet Gynaecol Br Commonw"},{"key":"2025102616592052800_R5","first-page":"131","article-title":"Neovagina nella syndrome di Rokitansky\u2013Kuster\u2013Hauser.","volume":"11","author":"Vecchietti","year":"1965","journal-title":"Ann Ostet Ginecol"},{"key":"2025102616592052800_R6","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1097\/00006534-198801000-00012","article-title":"Vaginal and pelvic reconstruction with distally based rectus abdominis myocutaneous flaps.","volume":"81","author":"Tobin","year":"1988","journal-title":"Plast Reconstr Surg"},{"key":"2025102616592052800_R7","first-page":"398","article-title":"The formation of an artificial vagina by intestinal transplantation.","volume":"40","author":"Baldwin","year":"1904","journal-title":"Ann Surg"},{"key":"2025102616592052800_R8","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.1016\/S0022-5347(01)63831-X","article-title":"Vaginal replacement in children and young adults.","volume":"159","author":"Hensle","year":"1998","journal-title":"J Urol"},{"key":"2025102616592052800_R9","first-page":"156","article-title":"Refinements in rectosigmoid vaginoplasty.","volume":"33","author":"Perovic","year":"1998","journal-title":"Eur Urol"},{"key":"2025102616592052800_R10","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1097\/00001703-200210000-00001","article-title":"Congenital absence of the vagina: in search of the perfect solution. When, and by what technique, should a vagina be created?","volume":"14","author":"Laufer","year":"2002","journal-title":"Curr Opin Obstet Gynecol"},{"key":"2025102616592052800_R11","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.1016\/j.juro.2006.11.003","article-title":"Rokitansky syndrome: clinical experience and results of sigmoid vaginoplasty in 23 young girls.","volume":"177","author":"Khen-Dunlop","year":"2007","journal-title":"J Urol"},{"key":"2025102616592052800_R12","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.","volume":"26","author":"Rosen","year":"2000","journal-title":"J Sex Marital Ther"},{"key":"2025102616592052800_R13","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1159\/000066239","article-title":"On the validity of the Beck Depression Inventory. A review.","volume":"31","author":"Richter","year":"1998","journal-title":"Psychopathology"},{"key":"2025102616592052800_R14","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1016\/S0025-6196(12)61747-9","article-title":"McIndoe procedure for vaginal agenesis: result and complications.","volume":"64","author":"Buss","year":"1989","journal-title":"Mayo Clin Proc"},{"key":"2025102616592052800_R15","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1016\/0002-9378(93)90283-O","article-title":"Long-term psychosexual and psychosocial performance of patients with a sigmoid neovagina.","volume":"169","author":"Freundt","year":"1993","journal-title":"Am J Obstet Gynecol"},{"key":"2025102616592052800_R16","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.1111\/j.1464-410X.2008.07520.x","article-title":"Twenty years of experience with Krzeski\u2019s cystovaginoplasty for vaginal agenesis in Mayer\u2013Rokitansky\u2013Kuster\u2013Hauser syndrome: anatomical, histological, cytological and functional results.","volume":"101","author":"Borkowski","year":"2008","journal-title":"BJU Int"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/8\/3\/427\/1253621\/sh10105.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/8\/3\/427\/1253621\/sh10105.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:59:26Z","timestamp":1761512366000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/8\/3\/427\/184687\/Rectosigmoid-vaginoplasty-in-patients-with-vaginal"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,17]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,8,17]]}},"URL":"https:\/\/doi.org\/10.1071\/sh10105","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,17]]}}}