Laparoscopic creation of a neovagina in patients with Rokitansky syndrome

Analysis of 52 cases

Luigi Fedele, Stefano Bianchi, Giovanni Zanconato, Ricciarda Raffaelli

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)384-389
Number of pages6
JournalFertility and Sterility
Volume74
Issue number2
DOIs
Publication statusPublished - Aug 2000

Fingerprint

Coitus
Tertiary Care Centers
Fingers
Outcome Assessment (Health Care)
Population
Therapeutics
Absence of vagina

Keywords

  • Genital anomalies
  • Gynecologic laparoscopy
  • neovagina
  • Rokitansky syndrome

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Laparoscopic creation of a neovagina in patients with Rokitansky syndrome : Analysis of 52 cases. / Fedele, Luigi; Bianchi, Stefano; Zanconato, Giovanni; Raffaelli, Ricciarda.

In: Fertility and Sterility, Vol. 74, No. 2, 08.2000, p. 384-389.

Research output: Contribution to journalArticle

Fedele, Luigi ; Bianchi, Stefano ; Zanconato, Giovanni ; Raffaelli, Ricciarda. / Laparoscopic creation of a neovagina in patients with Rokitansky syndrome : Analysis of 52 cases. In: Fertility and Sterility. 2000 ; Vol. 74, No. 2. pp. 384-389.
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