Evaluation of Post-Menopausal Bleeding in Two Patients with Sigmoid Neovaginoplasty

INTRODUCTION: Mayer-Rokitansky-Kuster-Hauser syndrome or vaginal agenesis, is the rare congenital absence of the vagina with varying degree of hypoplasia of the Mullerian duct system and uterine development. One of the reconstructive surgical options for a vaginoplasty involves the usage of the large bowel. CASE DESCRIPTION: We report two cases of patients who have had a sigmoid neovaginoplasty presenting many years later with postmenopausal bleeding. DISCUSSION: The authors describe the evaluation that can be performed by the gynecologist and gastroenterologist to initiate the work-up for this rare presentation.