The laparoscopic Vecchietti technique for vaginal agenesis
- 30 April 2007
- journal article
- Published by Wiley in International Journal of Gynecology & Obstetrics
- Vol. 98 (1), 15-19
- https://doi.org/10.1016/j.ijgo.2007.03.012
Abstract
To evaluate surgical, long-term anatomic and functional results of the laparoscopic Vecchietti procedure to treat women with vaginal agenesis.Retrospective analysis of 86 women treated at the Department of Gynecology and Obstetrics at the University of Verona, Italy. Data were analyzed based on surgical results and postoperative sexual satisfaction. Depth and diameter of the neo-vagina was determined. The characteristics of the neo-vaginal mucosa were investigated by vaginoscopy. Patients reported frequency, satisfaction, and any difficulties found at intercourse.Functional success was obtained in 98.1% and anatomic success in 100%. In all patients, at 1 year, the mucosa was pink, trophic, and moist. Two fingers were introduced easily into the neo-vagina in all cases. All patients, which decided to have sexual intercourse, defined these as satisfying within 6 months.Laparoscopic procedure used in this study is simple, safe, and effective. Anatomical and functional results obtained suggest this laparoscopic procedure as the treatment of choice for this syndrome.Keywords
This publication has 14 references indexed in Scilit:
- Report of a del22q11 in a patient with Mayer‐Rokitansky‐Küster‐Hauser (MRKH) anomaly and exclusion of WNT‐4, RAR‐gamma, and RXR‐alpha as major genes determining MRKH anomaly in a study of 25 affected womenAmerican Journal of Medical Genetics Part A, 2006
- Sexuality after laparoscopic Davydov in patients affected by congenital complete vaginal agenesis associated with uterine agenesis or hypoplasiaHuman Reproduction, 2005
- Sexual Function in Women Treated with Dilators for Vaginal AgenesisJournal of Pediatric and Adolescent Gynecology, 2005
- Long-term results after neovagina creation in Mayer–Rokitanski–Kuster–Hauser syndrome by Vecchietti’s operationEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 2002
- Laparoscopic creation of a neovagina in Mayer-Rokitansky-Küster-Hauser syndrome by modification of Vecchietti's operationAmerican Journal of Obstetrics and Gynecology, 1994
- Oculo-Auriculo-Vertebral complex and uncommon associated anomalies: Report on 8 unrelated Brazilian patientsAmerican Journal of Medical Genetics, 1992
- Morphologische und funktionelle Langzeitergebnisse nach Vecchietti-Operation zur Bildung einer NeovaginaGeburtshilfe und Frauenheilkunde, 1991
- Rokitansky sequence in association with the facio-auriculo-vertebral sequence: Part of a mesodermal malformation spectrum?American Journal of Medical Genetics, 1990
- Ileocecal vaginal constructionAmerican Journal of Obstetrics and Gynecology, 1989