{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T19:49:40Z","timestamp":1782330580191,"version":"3.54.5"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,8]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Mayer-Rokitansky-K\u00fcster-Hauser (MRKH) syndrome is a disorder marked by the congenital absence of the uterus and vagina. Patients with this condition often present with primary amenorrhoea and normal secondary sexual characteristics. The diagnosis of MRKH syndrome has profound implications for a patient\u2019s fertility and psychological well-being, necessitating a multidisciplinary approach that includes psychosocial support. We present a case of a young woman with MRKH syndrome who underwent robot-assisted Davydov\u2019s vaginoplasty for neovaginal creation. The procedure used the enhanced precision and visualisation of robotic technology, resulting in the successful formation of a 7 cm neovagina with minimal postoperative complications. The robotic approach to Davydov vaginoplasty, though relatively unexplored in MRKH syndrome, presents several advantages over conventional methods, including greater surgical precision, reduced operative time and quicker recovery. This case highlights the potential benefits of robotic-assisted surgery in MRKH syndrome, offering improved outcomes and contributing to the limited literature on this advanced surgical approach.<\/jats:p>","DOI":"10.1136\/bcr-2024-262794","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T23:45:39Z","timestamp":1737503139000},"page":"e262794","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pioneering robotic-assisted Davydov vaginoplasty for Mayer-Rokitansky-K\u00fcster-Hauser syndrome"],"prefix":"10.1136","volume":"18","author":[{"given":"Vikas Kumar","family":"Panwar","sequence":"first","affiliation":[{"name":"Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4205-7430","authenticated-orcid":false,"given":"Ayush","family":"Heda","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gupchee","family":"Singh","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupama","family":"Bahadur","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"2025082802553174000_18.1.e262794.1","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.1097\/AOG.0000000000002458","article-title":"Committee on Adolescent Health Care. ACOG Committee Opinion no.728: M\u00fcllerian Agenesis: Diagnosis, Management","volume":"131","year":"2018","journal-title":"And Treatment Obstet Gynecol"},{"key":"2025082802553174000_18.1.e262794.2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.fertnstert.2014.10.014","article-title":"Long-term results of vaginal construction with the use of Frank dilation and a peritoneal graft (Davydov procedure) in patients with Mayer-Rokitansky-K\u00fcster syndrome","volume":"103","author":"Willemsen","year":"2015","journal-title":"Fertil Steril"},{"key":"2025082802553174000_18.1.e262794.3","doi-asserted-by":"crossref","first-page":"865","DOI":"10.2147\/IJWH.S75637","article-title":"Mayer-Rokitansky-Kuster-Hauser syndrome: a review","volume":"7","author":"Londra","year":"2015","journal-title":"Int J Womens Health"},{"key":"2025082802553174000_18.1.e262794.4","doi-asserted-by":"crossref","first-page":"71","DOI":"10.4103\/njbcs.njbcs_18_18","article-title":"Congenital vaginal agenesis, davydov procedure: A case report and review of literature","volume":"17","author":"Rabiu","year":"2020","journal-title":"Niger J Basic Clin Sci"},{"key":"2025082802553174000_18.1.e262794.5","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/j.fertnstert.2023.12.015","article-title":"Laparoscopic Davydov vs. laparoscopic Vecchietti neovaginoplasty in women with Mayer-Rokitansky-K\u00fcster-Hauser syndrome; a systematic review and meta-analysis","volume":"121","author":"Martens","year":"2024","journal-title":"Fertil Steril"},{"key":"2025082802553174000_18.1.e262794.6","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s13669-024-00389-8","article-title":"Peritoneal Vaginoplasty in Gender Diverse Patients","volume":"13","author":"Haile","year":"2024","journal-title":"Curr Obstet Gynecol Rep"},{"key":"2025082802553174000_18.1.e262794.7","article-title":"Laparoscopic Davydov\u2019s Colpopoiesis for a Case of Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome","volume":"13","author":"Samantray","year":"2021","journal-title":"Cureus"},{"key":"2025082802553174000_18.1.e262794.8","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det098"},{"key":"2025082802553174000_18.1.e262794.9","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dei381"},{"key":"2025082802553174000_18.1.e262794.10","doi-asserted-by":"crossref","DOI":"10.1155\/2024\/9498667","article-title":"Davydov Vaginoplasty in Mayer-Rokitansky-K\u00fcster-Hauser Syndrome Patient Presenting With Urethral Dilatation","volume":"2024","author":"Vitols","year":"2024","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082802553174000_18.1.e262794.11","doi-asserted-by":"crossref","first-page":"4614","DOI":"10.4103\/jfmpc.jfmpc_1939_21","article-title":"Comparison of modified McIndoe and Davydov vaginoplasty in patients with MRKH syndrome in terms of anatomical results, sexual performance and satisfaction","volume":"11","author":"Deldar-Pesikhani","year":"2022","journal-title":"J Family Med Prim Care"},{"key":"2025082802553174000_18.1.e262794.12","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1111\/1471-0528.15888","article-title":"Neovagina creation methods and their potential impact on subsequent uterus transplantation: a review","volume":"126","author":"K\u00f6lle","year":"2019","journal-title":"BJOG"},{"key":"2025082802553174000_18.1.e262794.13","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/S0140-6736(14)60542-0","article-title":"Tissue-engineered autologous vaginal organs in patients: a pilot cohort study","volume":"384","author":"Raya-Rivera","year":"2014","journal-title":"The Lancet"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262794","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:55:38Z","timestamp":1756374938000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262794"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,21]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-262794"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262794","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}