Follow-up in women with vaginal agenesis after laparoscopic creation of neovagina.

STUDY

OBJECTIVE

To compare 2 different methods to create a neovagina in patients with Rokitansky syndrome and to describe their functional results during the follow-up.

DESIGN

Descriptive study on functional outcome in 32 patients with Rokitansky syndrome (Canadian Task Classification Force II-2).

SETTING

University tertiary Hospital.

DESIGN AND PATIENTS: 18 patients (group 1) underwent our original technique. 14 patients (group 2) were operated on with the modified technique.

INTERVENTION: Comparison between 2 different techniques of laparoscopic approach.

RESULTS

Both groups had excellent surgical outcomes. The modified technique (group 2) obtained an optimal vaginal depth in fewer days than in the first group (p < .001). Consequently, the hospital stay was shorter in the second group (p < .001). Follow-up was 85 months for group 1 and 17.2 months for group 2. Functional outcome was excellent during the follow-up in both groups.

CONCLUSION

Laparoscopic creation of a neovagina is a safe, minimally invasive treatment with good functional and sexual results.