title: [Vecchietti's operation for the formation of a neovagina: technic and results].
abstract: We performed Vecchietti's operation in 10 patients with absence of the vagina (8 Rokitansky-Küster-syndrome, 1 testicular feminization, 1 occlusion of the vagina after radiotherapy). There were no intra- or postoperative complications; on discharge the neovagina was patent for 2 fingers in all cases. On follow-up examinations 2 to 20 months postoperatively the neovagina was no longer patent in the patient after radiotherapy, all other patients had neovaginas with a length ranging from 5 to 9 cm and reported satisfactory coitus without dyspareunia. According to our experience the conditions for successful surgical formation of a neovagina are: good psychosocial adjustment, some preoperative sexual experience, higher age, preoperative counselling, and longterm follow-up.
mesh_terms: D000293:Adolescent; D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery
vernacular_title: Die Operation nach Vecchietti zur Bildung einer Neovagina: Technik und Ergebnisse.