Laparoscopic creation of a neovagina in patients with Rokitansky syndrome : analysis of 52 cases
Articolo
Data di Pubblicazione:
2000
Citazione:
Laparoscopic creation of a neovagina in patients with Rokitansky syndrome : analysis of 52 cases / L. Fedele, S. Bianchi, G. Zanconato, R. Raffaelli. - In: FERTILITY AND STERILITY. - ISSN 0015-0282. - 74:2(2000 Aug), pp. 384-389.
Abstract:
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.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Genital anomalies; Gynecologic laparoscopy; neovagina; Rokitansky syndrome
Elenco autori:
L. Fedele, S. Bianchi, G. Zanconato, R. Raffaelli
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