Follow-up in women with vaginal agenesis after laparoscopic creation of neovagina

Abstract

Study objective: To compare 2 different methods to create a neovagina in patients with Rokitansky syndrome and to describe their functional results during the follow-up.

Design: Descriptive study on functional outcome in 32 patients with Rokitansky syndrome (Canadian Task Classification Force II-2).

Setting: University tertiary Hospital.

Design and patients: 18 patients (group 1) underwent our original technique. 14 patients (group 2) were operated on with the modified technique.

Intervention: Comparison between 2 different techniques of laparoscopic approach.

Results: Both groups had excellent surgical outcomes. The modified technique (group 2) obtained an optimal vaginal depth in fewer days than in the first group (p < .001). Consequently, the hospital stay was shorter in the second group (p < .001). Follow-up was 85 months for group 1 and 17.2 months for group 2. Functional outcome was excellent during the follow-up in both groups.

Conclusion: Laparoscopic creation of a neovagina is a safe, minimally invasive treatment with good functional and sexual results.