Long-term results after neovagina creation in Mayer-Rokitanski-Kuster-Hauser syndrome by Vecchietti's operation.
OBJECTIVE
To evaluate the long-term results after Vecchietti's operation.


METHODS
Twenty Mayer-Rokitanski-Kuster-Hauser (MRKH) syndrome patients underwent creation of a neovagina using Vecchietti's operation by laparotomy (17 cases) and laparoscopy (3 cases).


RESULTS
The mean age of the patients was 21 years (16-34). After 66 months (24-156) of follow-up, the mean length x diameter of the neovagina was 8.2 cm x 2.8 cm. The neovaginal epithelium was macroscopically similar to normal vaginal mucosa, except for one patient who had subsequently undergone insertion of skin graft. Post-operative sexual behavior revealed sexual desire and pleasure (100%), lubrication (94%), clitoral orgasm (87%) and vaginal-mediated orgasm (69%). Finally, 16 patients out of 18 (89%) were completely satisfied with the results of the operation.


CONCLUSIONS
Vecchietti's operation may be suggested as one of the choice of treatments to correct vaginal aplasia in young MRKH syndrome patients.
Brun
Jean-Luc
JL
Department of Obstetrics and Gynecology, University Hospital Pellegrin, 33076, Bordeaux, France. jean-luc.brun@chu-bordeaux.fr
Belleannée
Geneviève
G
Grafeille
Nadine
N
Aslan
Anny-France
AF
Brun
Georges H
GH
D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D003251:Constriction, Pathologic; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000523:psychology*; D006801:Humans; D009948:Orgasm; D011183:Postoperative Complications; D012725:Sexual Behavior / Q000523:psychology*; D019738:Surgically-Created Structures; D013577:Syndrome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery