title: [Laparoscopic treatment of vaginal agenesis: three cases].
abstract: BACKGROUND
  Ninety per cent of cases of congenital vaginal agenesis are represented by the Mayer-Rokitansky-Küster-Hauser syndrome, the remaining 10% being represented by the testicular feminization syndrome and vaginal aplasia. Numerous surgical methods for the treatment of vaginal agenesis have been described. Neovagina construction by sigmoid colpoplasty seems to be the best surgical option as regards the anatomical and functional outcome.
  
  
  METHODS
  We report the case of three patients operated of neovagina construction with a sigmoid graft by a laparoscopic-perineal approach.
  
  
  RESULTS
  The surgical intervention lasted for 330 minutes, 210 minutes and 150 minutes respectively for the three patients. There were no perioperative complications. The duration of hospitalization was respectively 7, 4 and 6 days. The length of the neovagina was 15, 14 and 18 cm without retraction on the follow-up at 2 and 6 months. The vaginal wall maintained its patency allowing normal intercourse. The patients had normal sexual life after the surgery.
  
  
  CONCLUSIONS
  Our results demonstrate the feasibility of laparoscopic-perineal neovagina construction by sigmoid colpoplasty when it is performed by experienced surgeons in gynecology and digestive laparoscopic surgery.
authors: David
authors: D
authors: Atallah
authors: Charbel
authors: C
authors: Salameh
authors: Riad
authors: R
authors: Sarkis
authors: Michel
authors: M
authors: Ghossain
authors: Joelle
authors: J
authors: Safi
authors: Malak
authors: M
authors: Moubarak
authors: Wadih
authors: W
authors: Ghanameh
authors: Maroun
authors: M
authors: Moukarzel
authors: Nadine
authors: N
authors: El Kassis
mesh_terms: D012809:Colon, Sigmoid / Q000637:transplantation*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D019738:Surgically-Created Structures; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult