Creation of a neovagina in patients with Rokitansky syndrome using peritoneum from the pouch of Douglas: an analysis of 48 cases.
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.
Marques
Herbert de Sousa
Hde S
Department of Gynecology, Federal University of Piauí, Teresina, Piauí, Brazil.
dos Santos
Francisca Lopes
FL
Lopes-Costa
Pedro Vitor
PV
dos Santos
Alesse Ribeiro
AR
da Silva
Benedito Borges
BB
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*