Long-Term Outcomes of Laparoscopic Bean Vaginoplasty (Modified Vecchietti Procedure) for Mayer-Rokitansky-Kuster-Hauser Syndrome.
OBJECTIVE
The objective of our study is to evaluate the long-term results of laparoscopic bean vaginoplasty (LBV), which we previously described.


METHODS
From April 2002 to September 2013, 62 patients, who were diagnosed with Mayer-Rokitansky-Kuster-Hauser Syndrome and underwent LBV in Cukurova University School of Medicine Department of Obstetrics and Gynecology were included in the study. Operative data, complication rates, vaginal length, and sexuality of patients during the follow-up period were evaluated. Sexuality of the patients were evaluated using the Female Sexual Function Index (FSFI) questionnaire. The FSFI scores were compared with age-matched 65 healthy control subjects.


RESULTS
Mean age of patients in case and control groups were 23.9 ± 5.1 (18-32) and 25.1 ± 4.2 (18-31), respectively (P = .69). Median length of follow-up after surgery was 48 months (24-144 months). No complications occurred during the operations. No vaginal adhesions occurred during the follow-up periods. Median vaginal length during the last follow-up was 7 cm (6-9 cm). FSFI scores were similar with the control group.


CONCLUSIONS
LBV is a successful modification of Vecchietti procedure, without any reported complication. However, the procedure should still be compared with the other methods in randomized trials.
1 Department of Obstetrics and Gynecology, Çukurova University School of Medicine , Adana, Turkey .
Cihan
C
Çetin
1 Department of Obstetrics and Gynecology, Çukurova University School of Medicine , Adana, Turkey .
Cenk
C
Soysal
1 Department of Obstetrics and Gynecology, Çukurova University School of Medicine , Adana, Turkey .
İbrahim Ferhat
İF
Ürünsak
2 Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children's Diseases Training and Research Hospital , Istanbul, Turkey .
Murat
M
Api
1 Department of Obstetrics and Gynecology, Çukurova University School of Medicine , Adana, Turkey .
Turan
T
Çetin
D058489:46, XX Disorders of Sex Development / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D019529:Sexuality; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*; D055815:Young Adult