title: Creation of a neovagina by Davydov's laparoscopic modified technique in patients with Rokitansky syndrome.
abstract: OBJECTIVE
  The purpose of this study was to assess anatomic and functional results after the laparoscopic Davydov procedure for the creation of a neovagina in Rokitansky syndrome.
  
  
  METHODS
  Thirty patients with Rokitansky syndrome underwent the laparoscopic Davydov technique from June 2005-August 2008. Mean follow-up time lasted 30 months (range, 6-44 months) and included clinical examinations and evaluation of the quality of sexual intercourse; vaginoscopy, Schiller's test, and neovaginal biopsies were performed after 6 and 12 months. Functional results were assessed with the use of Rosen's Female Sexual Function Index and were compared with age-matched normal control subjects.
  
  
  RESULTS
  No perioperative complications occurred. At 6 months, anatomic success was achieved in 97% of the patients (n = 29); functional success and optimal results for the Female Sexual Function Index questionnaire were obtained in 96% of patients. Vaginoscopy and biopsy results showed a normal iodine-positive vaginal epithelium.
  
  
  CONCLUSIONS
  The Davydov technique seems to be a safe and effective treatment for vaginal agenesis in patients with Rokitansky syndrome.
authors.affiliation: Department of Obstetrics and Gynecology, Fondazione "Policlinico-Mangiagalli-Regina Elena", University of 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: Elisa
authors.initials: E
authors.lastname: Restelli
authors.forename: Nevio
authors.initials: N
authors.lastname: Ciappina
authors.forename: Francesca
authors.initials: F
authors.lastname: Motta
authors.forename: Stefano
authors.initials: S
authors.lastname: Bianchi
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019651:Plastic Surgery Procedures; D013536:Suture Techniques; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery; D055815:Young Adult