title: Follow-up in women with vaginal agenesis after laparoscopic creation of neovagina.
abstract: OBJECTIVE
  To compare 2 different methods to create a neovagina in patients with Rokitansky syndrome and to describe their functional results during the follow-up.
  
  
  METHODS
  Descriptive study on functional outcome in 32 patients with Rokitansky syndrome (Canadian Task Classification Force II-2).
  
  
  METHODS
  University tertiary Hospital.
  
  
  METHODS
  18 patients (group 1) underwent our original technique. 14 patients (group 2) were operated on with the modified technique.
  
  
  METHODS
  Comparison between 2 different techniques of laparoscopic approach.
  
  
  RESULTS
  Both groups had excellent surgical outcomes. The modified technique (group 2) obtained an optimal vaginal depth in fewer days than in the first group (p < .001). Consequently, the hospital stay was shorter in the second group (p < .001). Follow-up was 85 months for group 1 and 17.2 months for group 2. Functional outcome was excellent during the follow-up in both groups.
  
  
  CONCLUSIONS
  Laparoscopic creation of a neovagina is a safe, minimally invasive treatment with good functional and sexual results.
authors: Department of Obstetrics and Gynaecology, Autónoma University of Madrid, Puerta de Hierro University Hospital, Madrid, Spain. tperezm@sego.es
authors: Tirso
authors: T
authors: Perez-Medina
authors: Augusto
authors: A
authors: Pereira
authors: Nuria
authors: N
authors: de Argila
authors: Gonzalo
authors: G
authors: Folgueira
authors: Enrique
authors: E
authors: Iglesias
mesh_terms: D058489:46, XX Disorders of Sex Development; D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000013:Congenital Abnormalities; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D009095:Mullerian Ducts / Q000002:abnormalities / Q000601:surgery; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D019170:Somites / Q000002:abnormalities / Q000601:surgery; D013131:Spine / Q000002:abnormalities / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery; D055815:Young Adult