Novel Ultrasound-Guided Transrectal Approach for Oocyte Retrieval in Mayer–Rokitansky–Küster–Hauser (MRKH) Patient

Michael Fakih, Katty Khalil, Mouna Ali Fawaz and Lamiya Mohiyiddeen

First IVF Fertility Centre, Abu Dhabi, UAE Manchester University NHS Foundation Trust, UK

^*Correspondance to: Lamiya Mohiyiddeen 

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Abstract:

Background: Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome is a congenital disorder affecting approximately 1 in 5000 female births. Characterized by the absence or underdevelopment of the uterus and upper vagina, these patients typically have normal ovarian function. However, anatomical variations including blind-ending vagina, ovarian maldescent, and renal ectopia often complicate oocyte retrieval. These challenges frequently necessitate laparoscopic oocyte retrieval. Case Report: We present a 32-year-old woman with MRKH syndrome seeking embryo cryopreservation for future use via surrogacy. We describe a minimally invasive technique: ultrasound-guided per rectal oocyte retrieval under sedation. The procedure was successfully completed without complications. This is the first documented case of this approach in MRKH patients. Conclusion: Transrectal oocyte retrieval offers a safe, effective, and less invasive alternative to laparoscopic or transabdominal methods for women with MRKH syndrome, potentially expanding fertility preservation options in this population.

Keywords:

MRKH syndrome; Oocyte retrieval; Transrectal approach; Fertility preservation; Renal ectopia

Cite the Article:

Fakih M, Khalil K, Ali Fawaz M, Mohiyiddeen L. Novel Ultrasound- Guided Transrectal Approach for Oocyte Retrieval in Mayer–Rokitansky– Küster–Hauser (MRKH) Patient. World J Surg Surgical Res. 2025; 8: 1607..