The laparoscopic Vecchietti technique for vaginal agenesis

Abstract Objective To evaluate surgical, long-term anatomic and functional results of the laparoscopic Vecchietti procedure to treat women with vaginal agenesis. Methods Retrospective analysis of 86 women treated at the Department of Gynecology and Obstetrics at the University of Verona, Italy. Data...

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Published inInternational journal of gynecology and obstetrics Vol. 98; no. 1; pp. 15 - 19
Main Authors Borruto, F, Camoglio, F.S, Zampieri, N, Fedele, L
Format Journal Article
LanguageEnglish
Published Shannon Elsevier Ireland Ltd 01.07.2007
Elsevier Science
Subjects
Adolescent
Adult
Biological and medical sciences
Female
Gynecologic Surgical Procedures - methods
Gynecology. Andrology. Obstetrics
Humans
Italy
Laparoscopy - methods
Medical sciences
Mucous Membrane
Neo-vagina
Obstetrics and Gynecology
Patient Satisfaction
Reconstructive Surgical Procedures - methods
Retrospective Studies
Sexual Behavior
Sexual satisfaction
Surgically-Created Structures
Treatment Outcome
Vagina - abnormalities
Vagina - surgery
Vaginal agenesis
Italy
Vaginal agenesis
Sexual satisfaction
Neo-vagina
Andrology
Agenesis
Gynecology
Satisfaction
Vagina
Laparoscopy
Obstetrics
Malformation
Endoscopy
Technique
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Summary:Abstract Objective To evaluate surgical, long-term anatomic and functional results of the laparoscopic Vecchietti procedure to treat women with vaginal agenesis. Methods 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. Results 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. Conclusions 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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2007.03.012