American Journal of Obstetrics & Gynecology
Volume 198, Issue 4 , Pages 377.e1-377.e6, April 2008

The laparoscopic Vecchietti’s modified technique in Rokitansky syndrome: anatomic, functional, and sexual long-term results

  • Luigi Fedele, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • Corresponding Author InformationReprints: Luigi Fedele, MD, Professor, Clinica Ostetrica e Ginecologica I, Università di Milano, Istituto Luigi Mangiagalli, Via della Commenda 12, 20122 Milano, Italy.
    • ,
  • Stefano Bianchi, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Giada Frontino, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Eleonora Fontana, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Elisa Restelli, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Vincenzina Bruni, MD

      Affiliations

    • Department of Gynecology, Perinatology, and Human Reproduction, University of Florence, Florence, Italy.

Received 9 June 2007; received in revised form 27 July 2007; accepted 25 October 2007. published online 13 February 2008.

Objective

The objective of the study was to assess the anatomical and functional long-term follow-up results of the laparoscopic Vecchietti approach for the creation of a neovagina in the Rokitansky syndrome.

Study Design

One hundred ten patients underwent clinical follow-up visits at 1, 3, 6, and 12 months after surgery and every 6 months thereafter. The following were performed: evaluation of the quality of sexual intercourse, vaginal and rectal examinations, vaginoscopy, Schiller’s test, and vaginal cytology with microbiologic testing. Functional results were assessed by using Rosen’s Female Sexual Function Index questionnaire, of which the results were analyzed comparing normal age-matched controls.

Results

Four patients were lost to follow-up. Anatomic and functional success was achieved in 104 of 106 (98%) and 103 of 106 (97%) patients, respectively. Female Sexual Function Index scores were comparable with those of controls.

Conclusion

Vecchietti’s technique is simple, safe, and effective and allows normal and satisfying sexual intercourse, comparable with that of normal controls.

Key words: laparoscopy, neovagina, Rokitansky syndrome, sexual function, Vecchietti

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 Cite this article as: Fedele L, Bianchi S, Frontino G, et al. The laparoscopic Vecchietti’s modified technique in Rokitansky syndrome: anatomic, functional, and sexual long-term results. Am J Obstet Gynecol 2008;198:377.e1-377.e6.

PII: S0002-9378(07)02051-0

doi:10.1016/j.ajog.2007.10.807

American Journal of Obstetrics & Gynecology
Volume 198, Issue 4 , Pages 377.e1-377.e6, April 2008

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