American journal of obstetrics and gynecology · 2009
Creation of a neovagina by Davydov's laparoscopic modified technique in patients with Rokitansky syndrome.
СтатьяНазвание и аннотация: Перевод в очереди
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Fedele Luigi, Frontino Giada, Restelli Elisa, Ciappina Nevio, Motta Francesca, Bianchi Stefano
Аннотация
OBJECTIVE: The purpose of this study was to assess anatomic and functional results after the laparoscopic Davydov procedure for the creation of a neovagina in Rokitansky syndrome.
STUDY DESIGN: Thirty patients with Rokitansky syndrome underwent the laparoscopic Davydov technique from June 2005-August 2008. Mean follow-up time lasted 30 months (range, 6-44 months) and included clinical examinations and evaluation of the quality of sexual intercourse; vaginoscopy, Schiller's test, and neovaginal biopsies were performed after 6 and 12 months. Functional results were assessed with the use of Rosen's Female Sexual Function Index and were compared with age-matched normal control subjects.
RESULTS: No perioperative complications occurred. At 6 months, anatomic success was achieved in 97% of the patients (n = 29); functional success and optimal results for the Female Sexual Function Index questionnaire were obtained in 96% of patients. Vaginoscopy and biopsy results showed a normal iodine-positive vaginal epithelium.
CONCLUSION: The Davydov technique seems to be a safe and effective treatment for vaginal agenesis in patients with Rokitansky syndrome.
STUDY DESIGN: Thirty patients with Rokitansky syndrome underwent the laparoscopic Davydov technique from June 2005-August 2008. Mean follow-up time lasted 30 months (range, 6-44 months) and included clinical examinations and evaluation of the quality of sexual intercourse; vaginoscopy, Schiller's test, and neovaginal biopsies were performed after 6 and 12 months. Functional results were assessed with the use of Rosen's Female Sexual Function Index and were compared with age-matched normal control subjects.
RESULTS: No perioperative complications occurred. At 6 months, anatomic success was achieved in 97% of the patients (n = 29); functional success and optimal results for the Female Sexual Function Index questionnaire were obtained in 96% of patients. Vaginoscopy and biopsy results showed a normal iodine-positive vaginal epithelium.
CONCLUSION: The Davydov technique seems to be a safe and effective treatment for vaginal agenesis in patients with Rokitansky syndrome.