The laparoscopic Vecchietti technique for vaginal agenesis.
OBJECTIVE
To evaluate surgical, long-term anatomic and functional results of the laparoscopic Vecchietti procedure to treat women with vaginal agenesis.


METHODS
Retrospective analysis of 86 women treated at the Department of Gynecology and Obstetrics at the University of Verona, Italy. Data were analyzed based on surgical results and postoperative sexual satisfaction. Depth and diameter of the neo-vagina was determined. The characteristics of the neo-vaginal mucosa were investigated by vaginoscopy. Patients reported frequency, satisfaction, and any difficulties found at intercourse.


RESULTS
Functional success was obtained in 98.1% and anatomic success in 100%. In all patients, at 1 year, the mucosa was pink, trophic, and moist. Two fingers were introduced easily into the neo-vagina in all cases. All patients, which decided to have sexual intercourse, defined these as satisfying within 6 months.


CONCLUSIONS
Laparoscopic procedure used in this study is simple, safe, and effective. Anatomical and functional results obtained suggest this laparoscopic procedure as the treatment of choice for this syndrome.
Borruto
F
F
Department of Gynecology and Obstetrics, Department of Women and Child-Biology and Genetics - Pathological and Endocrinological of Infancy Unit, University of Verona, Italy.
Camoglio
F S
FS
Zampieri
N
N
Fedele
L
L
D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007558:Italy; D010535:Laparoscopy / Q000379:methods*; D009092:Mucous Membrane; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012725:Sexual Behavior; D019738:Surgically-Created Structures; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*