Laparoscopic creation of a neovagina in women with pelvic kidney

Laparoscopic modification of Vecchietti's technique for creating a neovagin a was carried out in four women with Rokitansky syndrome and renal anomalie s. All four patients had pelvic kidney, and in two it was associated with c ontralateral renal agenesis. The procedure was specifically modified to red uce the risks inherent in the most difficult step, passing the thread-beari ng cutting needle from the abdominal wall to the retrohymenal fossa, throug h the vesicorectal space. In all patients this was done successfully on the side contralateral to the pelvic kidney or in the hemipelvis in which the ureter was absent. Our experience proves that Vecchietti's technique for cr eating a neovagina, performed by laparoscopy, is feasible in patients with pelvic kidney, and laparotomy is unnecessary.