Laparoscopic creation of a neovagina in patients with Rokitansky syndrome: analysis of 52 cases.

OBJECTIVE

To evaluate the surgical feasibility and the long-term anatomic and functional results of a new procedure that uses the endoscopic approach to treat uterovaginal agenesis, known as Rokintansky syndrome.

DESIGN

Evaluation of surgical feasibility and recording of clinical data over a 12-month follow-up.

SETTING

Tertiary referral center for the treatment of female genital malformations.

PATIENT(S): Fifty-two patients with vaginal agenesis.

INTERVENTION(S): The laparoscopic version of the Vecchietti method was used to create a neovagina.

MAIN OUTCOME MEASURE(S): Anatomic success was defined as a neovagina >/=6 cm long, allowing easy introduction of two fingers, within 6 months after corrective surgery. Functional success was considered achieved if the patient reported satisfactory sexual intercourse starting from 6 months after surgery.

RESULT(S): The surgical procedure was performed with no major complications and with 100% anatomic success; functional success was obtained in 98.1% of the study population.

CONCLUSION(S): In patients with Rokitansky syndrome, the laparoscopic approach for creating a neovagina by the Vecchietti method is simple, safe, and effective.