title: The clinical application of laparoscope-assisted peritoneal vaginoplasty for the treatment of congenital absence of vagina.
abstract: OBJECTIVE
  To evaluate the outcomes of laparoscope-assisted peritoneal vaginoplasty for the treatment of congenital vaginal atresia.
  
  
  METHODS
  A retrospective study enrolled patients diagnosed with congenital vaginal atresia who were treated with one of two different laparoscope-assisted peritoneal vaginoplasty techniques (named Luohu-one and Luohu-two) between October 31, 2001 and December 31, 2014. Operative time, intraoperative bleeding volume, surgical difficulty, complications, and post-procedure sexual satisfaction were reported.
  
  
  RESULTS
  Data were collected for 620 patients. The Luohu-one procedure was used in the treatment of 145 patients, while 475 patients were treated with the Luohu-two procedure. In 5 (0.8%) patients, it was necessary to perform a sigmoid colon vaginoplasty. During surgery, 16 patients experienced a rectal injury, among whom, 9 patients experienced a rectal-vaginal fistula. Follow-up data extending to 7years were available for 285 patients. Of these 285 patients, 231 agreed to report details of their sexual experiences. In total, 222 (96.1%) patients reported being very satisfied with their vaginal conditions and sex life. The Luohu-two procedure demonstrated shorter operative and recovery time, and reduced intraoperative bleeding. However, both procedures demonstrated satisfactory results.
  
  
  CONCLUSIONS
  Laparoscope-assisted peritoneal vaginoplasty demonstrated good safety and effectiveness in the treatment of patients with congenital vaginal atresia.
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Chenglu
authors.initials: C
authors.lastname: Qin
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China. Electronic address: szlhlgn@126.com.
authors.forename: Guangnan
authors.initials: G
authors.lastname: Luo
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Min
authors.initials: M
authors.lastname: Du
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Shi
authors.initials: S
authors.lastname: Liao
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Chunping
authors.initials: C
authors.lastname: Wang
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Keke
authors.initials: K
authors.lastname: Xu
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Tang
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Baoyan
authors.initials: B
authors.lastname: Li
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Juanjuan
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Gynecology and Obstetrics, Luohu Hospital, Shenzhen, China.
authors.forename: Hongxin
authors.initials: H
authors.lastname: Pan
authors.affiliation: Department of Microbiology, Immunology and Pathology, Des Moines University, Des Moines, IA, USA; Department of Surgery, University of Missouri School of Medicine, Columbia, MO, USA.
authors.forename: Tyler W
authors.initials: TW
authors.lastname: Ball
authors.affiliation: Department of Microbiology, Immunology and Pathology, Des Moines University, Des Moines, IA, USA; Department of Surgery, University of Missouri School of Medicine, Columbia, MO, USA. Electronic address: yujiang.fang@dmu.edu.
authors.forename: Yujiang
authors.initials: Y
authors.lastname: Fang
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China; D012809:Colon, Sigmoid / Q000601:surgery; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D061646:Operative Time; D009948:Orgasm; D010502:Perineum / Q000601:surgery; D010537:Peritoneum / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012006:Rectovaginal Fistula / Q000601:surgery; D012189:Retrospective Studies; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery; D055815:Young Adult
keywords: Congenital vaginal atresia; Laparoscopy; Peritoneal vaginoplasty