title: Creation of a neovagina in patients with Rokitansky syndrome using peritoneum from the pouch of Douglas: an analysis of 48 cases.
abstract: OBJECTIVE
  To evaluate the surgical feasibility and the long-term anatomical and functional results of the technique of vaginal reconstruction using peritoneum from the pouch of Douglas in patients with uterovaginal agenesis, known as Rokitansky's syndrome.
  
  
  METHODS
  Retrospective single-institution case series.
  
  
  METHODS
  A tertiary referral center for the treatment of female genital malformations.
  
  
  METHODS
  Forty-eight patients with vaginal agenesis.
  
  
  METHODS
  Laparotomy and use of pelvic peritoneum to form a neovagina.
  
  
  METHODS
  Anatomical success was defined as a neovagina > or =8 cm in length that easily permitted the insertion of two fingers 6 months after corrective surgery. Functional success was considered to have been achieved when the patient reported satisfactory sexual intercourse beginning 6 months after surgery.
  
  
  RESULTS
  The surgical procedure was carried out uneventfully, and anatomical success was achieved in 100% of cases. Functional success was also achieved in the entire population studied.
  
  
  CONCLUSIONS
  The construction of a neovagina using pelvic peritoneum is simple, safe, and effective in patients with Rokitansky syndrome.
authors.affiliation: Department of Gynecology, Federal University of Piauí, Teresina, Piauí, Brazil.
authors.forename: Herbert de Sousa
authors.initials: Hde S
authors.lastname: Marques
authors.forename: Francisca Lopes
authors.initials: FL
authors.lastname: dos Santos
authors.forename: Pedro Vitor
authors.initials: PV
authors.lastname: Lopes-Costa
authors.forename: Alesse Ribeiro
authors.initials: AR
authors.lastname: dos Santos
authors.forename: Benedito Borges
authors.initials: BB
authors.lastname: da Silva
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010537:Peritoneum / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D012735:Sexual Dysfunction, Physiological / Q000601:surgery*; D013577:Syndrome; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*