Laparoscopic creation of a neovagina in patients with Rokitansky syndrome: analysis of 52 cases.
OBJECTIVE
To evaluate the surgical feasibility and the long-term anatomic and functional results of a new procedure that uses the endoscopic approach to treat uterovaginal agenesis, known as Rokintansky syndrome.


METHODS
Evaluation of surgical feasibility and recording of clinical data over a 12-month follow-up.


METHODS
Tertiary referral center for the treatment of female genital malformations.


METHODS
Fifty-two patients with vaginal agenesis.


METHODS
The laparoscopic version of the Vecchietti method was used to create a neovagina.


METHODS
Anatomic success was defined as a neovagina >/=6 cm long, allowing easy introduction of two fingers, within 6 months after corrective surgery. Functional success was considered achieved if the patient reported satisfactory sexual intercourse starting from 6 months after surgery.


RESULTS
The surgical procedure was performed with no major complications and with 100% anatomic success; functional success was obtained in 98.1% of the study population.


CONCLUSIONS
In patients with Rokitansky syndrome, the laparoscopic approach for creating a neovagina by the Vecchietti method is simple, safe, and effective.
Department of Obstetrics and Gynecology, University of Verona, Italy.
L
L
Fedele
S
S
Bianchi
G
G
Zanconato
R
R
Raffaelli
D000293:Adolescent; D000328:Adult; D003075:Coitus; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D019651:Plastic Surgery Procedures; D019738:Surgically-Created Structures; D013577:Syndrome; D001743:Urinary Bladder / Q000293:injuries; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery