{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:54:07Z","timestamp":1780548847302,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the long\u2010term outcomes for Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome (MRKH) patients undergoing vaginoplasty using acellular porcine small intestinal submucosa grafts (SIS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Seventy\u2010eight MRKH syndrome patients and a post\u2010SIS patient who delivered a baby following the world's first robot\u2010assisted uterus transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome patients were grouped based on the postoperative time and the diagnosis\u2013surgery interval. Outcomes of sexual function and psychological status were assessed using the female sexual function index (FSFI), self\u2010rating scale of body image (SSBI) and self\u2010acceptance questionnaire (SAQ). Anatomical outcomes were measured by clinicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The primary outcome was restoration of sexual function, defined by an FSFI score in the \u2018good\u2019 range. Anatomical and psychological outcomes were also analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sexual function was restored in 42.3% (33\/78) of patients and the total FSFI score was 23.44\u2009\u00b1\u20094.43. Three factors (body defect, recognition of physical appearance and willingness to change physical appearance scores) in the SSBI and two in the SAQ decreased as the postoperative time increased. Based on the interval between diagnosis and surgery, the total SSBI score was lower in the short\u2010interval group than in the long\u2010interval group (7.25\u2009\u00b1\u20095.55 versus 12.04\u2009\u00b1\u200910.21, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.038).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nearly half of MRKH patients in our study had good long\u2010term sexual function after SIS vaginoplasty. Sexual function and psychological status improved as postoperative time increased. In addition, reducing the diagnosis to surgery interval was associated with improved psychological function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17388","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T07:39:25Z","timestamp":1674200365000},"page":"645-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The long\u2010term outcomes of vaginoplasty using acellular porcine small intestinal submucosa grafts in patients with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser syndrome: A case series"],"prefix":"10.1111","volume":"130","author":[{"given":"Zhi\u2010yang","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xijing Hospital Fourth Military Medical University  Xi'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling\u2010xia","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xijing Hospital Fourth Military Medical University  Xi'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing\u2010guo","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xijing Hospital Fourth Military Medical University  Xi'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng\u2010xin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xijing Hospital Fourth Military Medical University  Xi'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gai\u2010jing","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xijing Hospital Fourth Military Medical University  Xi'an China"},{"name":"Medical School of Yanan University  Yanan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bi\u2010liang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xijing Hospital Fourth Military Medical University  Xi'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu\u2010juan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xijing Hospital Fourth Military Medical University  Xi'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/cge.12883"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-85-2-224"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002458"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.advms.2019.12.008"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12683"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/0167482X.2020.1752658"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43032-020-00279-3"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-019-05352-0"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-022-05163-z"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2021.10.015"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deu341"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/009262300278597"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.06.026"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2010.02171.x"},{"issue":"5","key":"e_1_2_12_16_1","first-page":"299","article-title":"A self rating scale of body image","volume":"14","author":"Lu D","year":"2000","journal-title":"Chin Men Health J"},{"issue":"1","key":"e_1_2_12_17_1","first-page":"20","article-title":"The development of self\u2010acceptance questionnaire and the test of its reliability and validity","volume":"8","author":"Cong Z","year":"1999","journal-title":"Chin J Behav Med Brain Sci"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmu024"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dew220"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-022-05075-y"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-006-9054-2"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3854-5"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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