title: [Laparoscopic creation of a neovagina by Vecchietti's technique: anatomic and functional results].
abstract: OBJECTIVE
  To evaluate vaginoplasty by Vecchietti technique adapted to laparoscopy and the anatomical and functional long term outcomes.
  
  
  METHODS
  We retrospectively studied the patients with vaginal agenesis (a Mayer-Rokitansky-Küster-Hauser syndrome for seven of young adults) operated from 1997 to 2011. The data of eight patients with a median age of 18years old was collected. Surgical complications were analysed. The functional outcomes were compared to a control group with the Female Sexual Function Index (FSFI).
  
  
  RESULTS
  No major complication occurred during surgery. The postoperative mean vaginal measurement was 7.2cm (4.4-10). The total FSFI scores did not differ from that of the control group (19.2 versus 18 p=0.82). Desire, arousal, lubrication, orgasm, satisfaction, and pain of the patients were similar to controls.
  
  
  CONCLUSIONS
  Laparoscopic Vecchietti technique is a fast, simple and safe procedure to create a neovagina, and guarantees good anatomic and functional results.
authors.affiliation: Service de gynécologie-obstétrique, centre hospitalier universitaire de Rouen, Pavillon mère-enfant, 1 rue de Germont, Rouen cedex, France. sarahabramo@yahoo.fr
authors.forename: S
authors.initials: S
authors.lastname: Abramowicz
authors.forename: S
authors.initials: S
authors.lastname: Oden
authors.forename: N
authors.initials: N
authors.lastname: Joutel
authors.forename: H
authors.initials: H
authors.lastname: Roman
authors.forename: A
authors.initials: A
authors.lastname: Gromez
authors.forename: L
authors.initials: L
authors.lastname: Marpeau
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D003075:Coitus; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D012725:Sexual Behavior / Q000502:physiology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult