Cytologic findings in a neovagina created with Vecchietti's technique for treating vaginal aplasia

OBJECTIVE: To report long-term cytologic findings after treatment of congenital vaginal aplasia or Mayer-Rokitansky-Kuster- Hauser syndrome (MRKH) using progressive traction gf the vulvar tissues, or Vecchietti's technique (VT). STUDY DESIGN: In eight women with MRKH, neovaginal smears stained by the Harris-Schorr technique were collected 2-12 years after VT. RESULTS: Eosinophilic superficial cells observed in all cases indicate that the neovaginal epithelium responds to hormonal variations. The presence of Doderlein bacilli (seven cases) suggests that the regional environment of the neovagina is almost the same Its that of the normal vagina. Gardnerella vaginalis tone case) and human papilloma virus infection (low grade squamous intraepithelial lesions) tone case) were also observed. CONCLUSION : Neovaginal smears taken after the cicatrization period following construction of a neovagina by VT show a remarkable resemblance to those from normal vaginal mucosa and suggest that these neovaginas are almost the same as normal vaginas.