title: Prospective randomized comparison of laparoscopic peritoneal vaginoplasty with laparoscopic sigmoid vaginoplasty for treating congenital vaginal agenesis.
abstract: OBJECTIVE
  The aim of this study was to compare the effectiveness and long-term anatomic and functional results of laparoscopic peritoneal vaginoplasty and laparoscopic sigmoid vaginoplasty.
  
  
  METHODS
  From January 2002 to December 2010, 40 patients with congenital vaginal agenesis were prospectively randomized to undergo either laparoscopic peritoneal vaginoplasty (26 cases) or laparoscopic sigmoid vaginoplasty (14 cases) in 2:1 ratio. Pre- and postoperative examination findings, Female Sexual Function Index (FSFI) questionnaire responses, and sexual satisfaction rates are reported.
  
  
  RESULTS
  All surgical procedures were performed successfully, with no intraoperative complications. The laparoscopic peritoneal vaginoplasty group had significantly less blood loss and a surgery shorter on average than the laparoscopic sigmoid colovaginoplasty group. Postoperative course was uneventful for all patients in both groups, though postoperative retention time and hospital stay were less for peritoneal vaginoplasty patients than for sigmoid vaginoplasty patients. Mean neovaginal length, excessive mucous production, sexual life initiation time, and sexual satisfaction rate were similar between groups. Patient complaints of abdominal discomfort, unusual odor from vaginal secretions, and vaginal contraction during intercourse were higher in the sigmoid colovaginoplasty group (p < 0.005 vs. peritoneal vaginoplasty). Postoperative FSFI scores did not differ significantly between groups.
  
  
  CONCLUSIONS
  Relative to laparoscopic sigmoid colovaginoplasty, laparoscopic peritoneal vaginoplasty provides good anatomic and functional results and excellent patient satisfaction.
authors.affiliation: Department of Gynecology and Obstetrics, Southwest Hospital, Third Military Medical University, 30 GaoTanyan Main Street, Chongqing 400038, China.
authors.forename: Lili
authors.initials: L
authors.lastname: Cao
authors.forename: Yanzhou
authors.initials: Y
authors.lastname: Wang
authors.forename: Yudi
authors.initials: Y
authors.lastname: Li
authors.forename: Huicheng
authors.initials: H
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D012809:Colon, Sigmoid / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy; D010537:Peritoneum / Q000601:surgery; D011446:Prospective Studies; D019738:Surgically-Created Structures; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities*; D055815:Young Adult