A NEW LAPAROSCOPIC PROCEDURE FOR CREATION OF A NEOVAGINA IN MAYER-ROKITANSKY-KUSTER-HAUSER SYNDROME

Objective: To evaluate the results of a new laparoscopic technique for the creation of a neovagina in women with Rokitansky syndrome. Design : Open noncomparative clinical study. Setting: Tertiary care center. P atient(s): Fourteen patients with Rokitansky Syndrome, aged 15 to 34 g ears, desiring to have sexual relations. Intervention(s): The patients underwent creation of a neovagina at laparoscopy by a modification of Vecchietti's technique. Main Outcome Measure(s): At the clinical exam inations performed during the follow up (ranging from 6 to 24 months), the patients reported the frequency, satisfaction, and any difficulti es found ai; intercourse. At each examination, the depth and diameter of the neovagina was determined. The characteristics of the neovaginal mucosa were investigated by vaginoscopy. Result(s): No intraoperative and postoperative complications were observed. The patients considere d the discomfort caused by the Vecchietti's device and the daily tract ions acceptable. In all the patients the mucosa Nas pink, trophic, and moist 3 months after tile operation. Two fingers were introduced easi ly Into the neovagina in all cases, and the mean length was 8.1 +/- 1. 1 cm. All but one patient defined their sexual intercourse as satisfyi ng within 6 months from the intervention. Conclusion(s): In light of t he results obtained in the present series, we consider that, because o f its efficacy, rapidity, and safety, the laparoscopic surgical method used by us may be suggested as the treatment of choice to correct Rok itansky syndrome.