@article {Michala2013,
	title = {{Lower urinary tract symptoms in women with vaginal agenesis}},
	journal = {International Urogynecology Journal and Pelvic Floor Dysfunction},
	volume = {24},
	number = {3},
	year = {2013},
	abstract = {Introduction and hypothesis: Congenital vaginal aplasia is a condition with devastating implications for fertility and sexuality. However, little is known on whether urinary symptomatology is more common prior and following vaginal lengthening procedures in these women. Methods: We performed a prospective observational study of 19 women with vaginal agenesis before and after vaginal dilation treatment or a laparoscopic Vecchietti procedure. All women completed the ICIQ FLUTS questionnaire before and after treatment in order to assess incidence and changes in urinary symptomatology. Results: Urinary symptoms were present in 53{\%} of women prior to treatment. The majority of bladder symptoms were not significantly altered by treatment, except for incomplete bladder emptying. Women following the Vecchietti procedure had increased urinary hesitancy and a poorer steam compared with those completing dilation treatment. The longer the vaginal length, the greater the urinary frequency. Conclusion: Women with vaginal agenesis had significant levels of urinary symptoms and to our knowledge this has not been reported before. The majority of symptoms were not altered by treatment. {\textcopyright} 2012 The International Urogynecological Association.},
	keywords = {Laparoscopic Vecchietti, MRKH syndrome, Urinary symptoms, Vaginal dilation},
	issn = {09373462},
	doi = {10.1007/s00192-012-1870-4},
	author = {Michala, L. and Strawbridge, L. and Bikoo, M. and Cutner, A.S. and Creighton, S.M.}
}
