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

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

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Keywords

  • Genital anomalies
  • Gynecologic laparoscopy
  • neovagina
  • Rokitansky syndrome

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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