title: Creation of a neovagina in Rokitansky patients with a pelvic kidney: comparison of long-term results of the modified Vecchietti and McIndoe techniques.
abstract: OBJECTIVE
  To evaluate perioperative data and long-term results of Rokitansky patients with a pelvic kidney that underwent the McIndoe and modified Vecchietti procedures.
  
  
  METHODS
  Retrospective descriptive study.
  
  
  METHODS
  A tertiary referral center for the study and treatment of Rokitansky syndrome.
  
  
  METHODS
  Eleven patients with Rokitansky syndrome.
  
  
  METHODS
  Two and nine patients, respectively, underwent the McIndoe and Vecchietti modified techniques.
  
  
  METHODS
  Anatomic success was defined as a neovagina > or =6 cm long allowing easy introduction of two fingers within 6 months postoperatively. Functional success was considered achieved when the patient reported satisfactory sexual intercourse starting from 6 months postoperatively.
  
  
  RESULTS
  Surgery was performed with no complications in all 11 patients. The mean duration of surgery was 190 +/- 14.1 minutes in the first group and 32 +/- 6.4 minutes in the second group. At 14 years of follow-up, both patients who underwent McIndoe vaginoplasty had a mean +/- SD length and width of 8.2 +/- 0.4 cm and 5 cm and negative Schiller's test 24 months postoperatively. At 4 years of follow-up, eight out of the nine patients who underwent the Vecchietti procedure (89%) had a mean +/- SD length and width of the neovagina of 7.4 +/- 0.6 cm and 4.2 +/- 0.5 cm and iodine-positive vaginal-type epithelium coating 100% of the neovagina 24 months postoperatively.
  
  
  CONCLUSIONS
  While appearing to be safe, effective, and with optimal functional results, the modified Vecchietti approach also seems to yield good anatomical and aesthetic results along with shorter surgical and hospitalization times.
authors.affiliation: Clinica Ostetrica e Ginecologica I Università di Milan Fondazione Policlinico, Mangiagalli e Regina Elena, Via Commenda 12, 20122 Milan, Italy. luigi.fedele@unimi.it
authors.forename: Luigi
authors.initials: L
authors.lastname: Fedele
authors.forename: Giada
authors.initials: G
authors.lastname: Frontino
authors.forename: Francesca
authors.initials: F
authors.lastname: Motta
authors.forename: Elisa
authors.initials: E
authors.lastname: Restelli
authors.forename: Massimo
authors.initials: M
authors.lastname: Candiani
mesh_terms: D003075:Coitus; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*