Laparoscopic creation of a neovagina in patients with Rokitansky syndrome: analysis of 52 cases

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 greater than or equal to 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. (C)2000 by American Society for Reproductive Medicine.