TY - JOUR
T1 - Laparoscopic creation of a neovagina in patients with Rokitansky syndrome
T2 - Analysis of 52 cases
AU - Fedele, Luigi
AU - Bianchi, Stefano
AU - Zanconato, Giovanni
AU - Raffaelli, Ricciarda
PY - 2000/8
Y1 - 2000/8
N2 - 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. Copyright (C) 2000 American Society for Reproductive Medicine.
AB - 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. Copyright (C) 2000 American Society for Reproductive Medicine.
KW - Genital anomalies
KW - Gynecologic laparoscopy
KW - neovagina
KW - Rokitansky syndrome
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U2 - 10.1016/S0015-0282(00)00620-8
DO - 10.1016/S0015-0282(00)00620-8
M3 - Article
C2 - 10927064
AN - SCOPUS:0041187038
VL - 74
SP - 384
EP - 389
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 2
ER -