[Laparoscopic creation of a neovagina by Vecchietti's technique: anatomic and functional results].

OBJECTIVES

To evaluate vaginoplasty by Vecchietti technique adapted to laparoscopy and the anatomical and functional long term outcomes.

PATIENTS AND

METHODS

We retrospectively studied the patients with vaginal agenesis (a Mayer-Rokitansky-Küster-Hauser syndrome for seven of young adults) operated from 1997 to 2011. The data of eight patients with a median age of 18years old was collected. Surgical complications were analysed. The functional outcomes were compared to a control group with the Female Sexual Function Index (FSFI).

RESULTS

No major complication occurred during surgery. The postoperative mean vaginal measurement was 7.2cm (4.4-10). The total FSFI scores did not differ from that of the control group (19.2 versus 18 p=0.82). Desire, arousal, lubrication, orgasm, satisfaction, and pain of the patients were similar to controls.

DISCUSSION AND

CONCLUSION

Laparoscopic Vecchietti technique is a fast, simple and safe procedure to create a neovagina, and guarantees good anatomic and functional results.