PAG in China; a stimulating collegiate opportunity for an international team to learn from Chinese colleagues occurred in July this year.

A group of 9 members and affiliates of the International Federation of Paediatric and Adolescent Gynaecology had the pleasure of participating in an international Workshop on the Luohu Operation ( Vaginoplasty technique) last month (23 -25 July 2019) at Luohu People’s Hospital, Shenzhen China.

The visiting team included Dr Symphorosa Chan, Dr Charleen Cheung Sze Yan and Dr Karen Ng (Hong Kong), Dr Hanan Habeeb K Alshankiti (Saudi Arabia), Dr Saman Moeed ( New Zealand), Ms Kristiina Siiankoski (Australia), Prof Dr Nur Azurah Abd Ghani, Dr Lavitha Sivapatham and Dr Ana Vetriana Abd Wahab (Malaysia) following the generous invitation by Prof Luo and his team, Dr Qin and Dr Vinson Pan. This meeting was also attended by many other doctors from Mainland China.

A MRKH support group meeting attended by 50 patients and their families from all parts of China also occurred, where experiences were shared by patients from China, and Kristiina from Australia.

Subsequently the visiting team had the opportunity to review some post-operative patients who had undergone the Luohu Operation from a few months to a few years earlier. Discussion about the theoretical aspects of the surgery, the post-operative care and management of the patients also occurred.

On day 2, Prof Luo and his team provided the opportunity to witness the vaginoplasty technique for MRKH patients, utilising the Luohu 2 operation. There are 5 variations of this surgery to manage this and other Mullerian anomalies. Videos of a variety of previous surgeries for Mullerian Anomalies were shared by Dr Vinson Pan and there was a very fruitful discussion of other interesting and challenging cases.

Day 3 included presentations by 3 members of the visiting group and talks by Prof Luo and other experts from all over China. Translation was done by our Hong Kong friends. The experts shared cases including management, surgical technique as well as the outcomes. Of interest, China has now established a national collaborative network and begun collecting blood and tissue of patients and their families to carry out genetic analysis on patients with MRKH.

The local Chinese doctors stayed on for single port surgery workshop and further academic meetings over the weekend.

It was a very enlightening and rewarding meeting with the expert who has done over 1600 cases over the past 20 years in the centre as well as a wonderful opportunity to share knowledge and to make and extend friendships with the Chinese PAG clinicians.