Robotic Sigmoid Neovaginoplasty in Mayer–Rokitansky–Küster–Hauser Syndrome: A Case Report of a Feasible and Safe Reconstructive Approach

Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome is a rare congenital disorder characterised by vaginal agenesis with normal ovarian function and karyotype. Neovaginoplasty remains the cornerstone of management for patients seeking functional sexual outcomes. While laparoscopic sigmoid vaginoplasty has been widely reported, the robotic approach offers enhanced precision, ergonomics, and three-dimensional (3D) visualisation. We present the case of a 21-year-old female diagnosed with MRKH syndrome who underwent robotic sigmoid neovaginoplasty. The procedure was successfully completed with an operative time of 5 hours and an estimated blood loss of less than 50 mL. Postoperative recovery was uneventful, and the patient was discharged on postoperative Day 7. At 8 weeks of follow-up, the neovagina demonstrated satisfactory length, cosmetic appearance, and functional outcomes. This case highlights that robotic sigmoid neovaginoplasty is a safe and feasible technique for vaginal reconstruction in MRKH syndrome, combining the advantages of minimally invasive surgery with enhanced surgical dexterity.