A new laparoscopic procedure for creation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome.
OBJECTIVE
To evaluate the results of a new laparoscopic technique for the creation of a neovagina in women with Rokitansky syndrome.


METHODS
Open noncomparative clinical study.


METHODS
Tertiary care center.


METHODS
Fourteen patients with Rokitansky syndrome, aged 15 to 34 years, desiring to have sexual relations.


METHODS
The patients underwent creation of a neovagina at laparoscopy by a modification of Vecchietti's technique.


METHODS
At the clinical examinations performed during the follow up (ranging from 6 to 24 months), the patients reported the frequency, satisfaction, and any difficulties found at intercourse. At each examination, the depth and diameter of the neovagina was determined. The characteristics of the neovaginal mucosa were investigated by vaginoscopy.


RESULTS
No intraoperative and postoperative complications were observed. The patients considered the discomfort caused by the Vecchietti's device and the daily tractions acceptable. In all the patients the mucosa was pink, trophic, and moist 3 months after the operation. Two fingers were introduced easily into the neovagina in all cases, and the mean length was 8.1 +/- 1.1 cm. All but one patient defined their sexual intercourse as satisfying within 6 months from the intervention.


CONCLUSIONS
In light of the results obtained in the present series, we consider that, because of its efficacy, rapidity, and safety, the laparoscopic surgical method used by us may be suggested as the treatment of choice to correct Rokitansky syndrome.
Fedele
L
L
Department of Obstetrics and Gynecology, University of Verona, Policlinico Borgoroma, Italy.
Bianchi
S
S
Tozzi
L
L
Borruto
F
F
Vignali
M
M
D000293:Adolescent; D000328:Adult; D003075:Coitus; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009092:Mucous Membrane / Q000502:physiology; D013577:Syndrome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*