[Anatomical and functional effect of laparoscopic Vecchietti operation].
OBJECTIVE
To evaluate surgical: anatomical and functional effect of the laparoscopic Vecchietti procedure to treat women with vaginal agenesis.


METHODS
Retrospective analysis of 10 patients operated in the II-nd Department of Gynecology Medical University of Lublin, Poland. The length of vagina and macroscopic evaluation of it structure was assessed in each case. Sexually active women for more than 6 months answered the BISF-W questionnaire (Brief Index of Sexual Functioning for Women). The results were analyzed comparing health age-matched controls.


RESULTS
The mean age of operated women was 22.8-4.5 year whereas in the control group 22.9 +/- 3.3 year. In two operated patients the small areas of granulation were found in the vagina: in one woman on the side wall of vagina in the other in the apex. The mean length of neo-vagina was 8 +/- 2.1 cm, whereas in the control group 10 +/- 1.0 cm. The difference was statistically significant (U Mann-Whitney test, p = 0.013). BISF-W scores were comparable in both groups.


CONCLUSIONS
The laparoscopic Vecchietti operation allows to create shorter vagina in comparison to health women but the sexual life of this patients is as satisfying as the normal controls.
Adamiak
Aneta
A
II Klinika Ginekologii Uniwersytetu Medycznego w Lublinie. adamiak@yahoo.com
Monist
Marta
M
Bartuzi
Aleksandra
A
Miotła
Paweł
P
Rechberger
Tomasz
T