[Laparoscopic creation of a neovagina by Vecchietti's technique: anatomic and functional results]

Abstract

Objectives: To evaluate vaginoplasty by Vecchietti technique adapted to laparoscopy and the anatomical and functional long term outcomes.

Patients and methods: We retrospectively studied the patients with vaginal agenesis (a Mayer-Rokitansky-Küster-Hauser syndrome for seven of young adults) operated from 1997 to 2011. The data of eight patients with a median age of 18years old was collected. Surgical complications were analysed. The functional outcomes were compared to a control group with the Female Sexual Function Index (FSFI).

Results: No major complication occurred during surgery. The postoperative mean vaginal measurement was 7.2cm (4.4-10). The total FSFI scores did not differ from that of the control group (19.2 versus 18 p=0.82). Desire, arousal, lubrication, orgasm, satisfaction, and pain of the patients were similar to controls.

Discussion and conclusion: Laparoscopic Vecchietti technique is a fast, simple and safe procedure to create a neovagina, and guarantees good anatomic and functional results.