title: [Laparoscopy-insisted vaginoplasty with peritoneum in patients with androgen insensitivity syndrome].
abstract: OBJECTIVE
  To investigate the technique and therapeutic effect of laparoscopy-insisted vaginoplasty with peritoneum in patients with androgen insensitivity syndrome.
  
  
  METHODS
  From May. in the Fifth People' s Hospital of Shenzhen. The therapeutic effect was retrospectively analyzed.
  
  
  RESULTS
  Laparoscopy-insisted vaginoplasty was successfully completely with peritoneum in patients with androgen in 4 cases. Ileumtivity segyndroment was used instead of peritoneum in one case. Open operation was not adopted in any cases. The ectopic testicles were removed during operation in 4 cases. The average operation time and bleeding volume was 60 min and 20 ml, respectively. Rectum, bladder and urethra were not injured in any case. The average vaginal length was 9 cm (range 8-10 cm) 21-28 days after operation. 6 months after operation, the surface of reconstructed vagina was smooth, ruddy and flexible, with satisfactory anatomical and functional results. Normal sexual activity was achieved in 2 cases.
  
  
  CONCLUSIONS
  Laparoscopy-insisted vaginoplasty with peritoneum could be used for female patients with androgen insensitivity syndrome. The ectopic testicles should be removed. Estrogen supplement and psychological guide after operation are also important.
authors.affiliation: Department of Gynecology, the Fifth People's Hospital of Shenzhen, Shenzhen 518001, China.
authors.forename: Juan-Juan
authors.initials: JJ
authors.lastname: Zhang
authors.forename: Shi
authors.initials: S
authors.lastname: Liao
authors.forename: Min
authors.initials: M
authors.lastname: Du
authors.forename: Cheng-Lu
authors.initials: CL
authors.lastname: Qin
authors.forename: Bao-Yan
authors.initials: BY
authors.lastname: Li
authors.forename: Guang-Nan
authors.initials: GN
authors.lastname: Luo
mesh_terms: D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010537:Peritoneum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D014621:Vagina / Q000601:surgery*; D055815:Young Adult