Creation of a neovagina by Davydov's laparoscopic modified technique in patients with Rokitansky syndrome

Luigi Fedele, Giada Frontino, Elisa Restelli, Nevio Ciappina, Francesca Motta, Stefano Bianchi

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Issue number1
Publication statusPublished - Jan 2010


  • Davydov technique
  • laparoscopy
  • neovagina
  • Rokitansky syndrome
  • sexual function

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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