Cytologic findings in a neovagina created with Vecchietti's technique for treating vaginal aplasia.
OBJECTIVE
To report long-term cytologic findings after treatment of congenital vaginal aplasia or Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) using progressive traction of the vulvar tissues, or Vecchietti's technique (VT).


METHODS
In eight women with MRKH, neovaginal smears stained by the Harris-Schorr technique were collected 2-12 years after VT.


RESULTS
Eosinophilic superficial cells observed in all cases indicate that the neovaginal epithelium responds to hormonal variations. The presence of Döderlein bacilli (seven cases) suggests that the regional environment of the neovagina is almost the same as that of the normal vagina. Gardnerella vaginalis (one case) and human papilloma virus infection (low grade squamous intraepithelial lesions) (one case) were also observed.


CONCLUSIONS
Neovaginal smears taken after the cicatrization period following construction of a neovagina by VT show a remarkable resemblance to those from normal vaginal mucosa and suggest that these neovaginas are almost the same as normal vaginas.
Department of Cytology and Pathology, Centre Hospitalier Universitaire Bordeaux, France.
G
G
Belleannée
J L
JL
Brun
H
H
Trouette
J P
JP
Mompart
J F
JF
Goussot
G
G
Brun
A
A
de Mascarel
D000293:Adolescent; D000328:Adult; D001424:Bacterial Infections / Q000382:microbiology / Q000473:pathology; D005260:Female; D006194:Gardnerella vaginalis; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000473:pathology / Q000821:virology; D019651:Plastic Surgery Procedures / Q000379:methods; D014412:Tumor Virus Infections / Q000473:pathology / Q000821:virology; D014621:Vagina / Q000002:abnormalities / Q000166:cytology* / Q000601:surgery*; D014623:Vaginal Diseases / Q000473:pathology; D014625:Vaginal Neoplasms / Q000473:pathology; D014626:Vaginal Smears