title: [The laparoscopic Vecchietti technique for vaginal agenesis].
abstract: OBJECTIVE
  To evaluate feasibility and surgical long term, anatomic and functional results of the laparoscopic Vecchietti procedure to treat women with vaginal agenesis.
  
  
  METHODS
  We reported six cases of patients with a Mayer-Rokitansky-Küster-Hauser syndrome. The surgical procedure was the same for all patients. The results have been evaluated on the operative time, the intra and postoperative complications, the antalgic drugs consumption, the transit recovery, the hospital stay, the neovagina length, and the post operative sexual satisfaction.
  
  
  RESULTS
  The mean operative time was 77.5 minutes. The mean paracetamol consumption was: 9.8 g. The mean transit recovery, and hospital stay were: 2 days, 9.8 days, respectively. No intra or postoperative complication occurred. The mean neovagina length evaluated at one year follow-up visit was 7.5 cm. Five patients have regular sexual activity. Three of them reported sexual satisfaction and showed having orgasm (clitoral: 3 cases, clitoral and vaginal: 2 cases). The 2 remaining patients reported dyspareunia. The global satisfaction index was of 71.6%.
  
  
  CONCLUSIONS
  This surgical technique appeared to be safe, effective and reproducible. It allowed to obtain a neovagina with enough length and have encouraging results on sexual functioning Laparoscopy reduces the psychological and aesthetic consequences of surgery, especially for these young patients already distressed by their malformation.
authors.forename: Moez
authors.initials: M
authors.lastname: Kdous
authors.forename: Anis
authors.initials: A
authors.lastname: Chaker
authors.forename: Monia
authors.initials: M
authors.lastname: Ferchiou
authors.forename: Fethi
authors.initials: F
authors.lastname: Zhioua
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery; D000293:Adolescent; D000328:Adult; D003075:Coitus; D000013:Congenital Abnormalities / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D009095:Mullerian Ducts / Q000002:abnormalities / Q000601:surgery; D019738:Surgically-Created Structures; D014621:Vagina / Q000601:surgery*; D055815:Young Adult