The laparoscopic Vecchietti’s modified technique in Rokitansky syndrome: anatomic, functional, and sexual long-term results
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.
aDepartment of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
bDepartment of Gynecology, Perinatology, and Human Reproduction, University of Florence, Florence, Italy.
Reprints: Luigi Fedele, MD, Professor, Clinica Ostetrica e Ginecologica I, Università di Milano, Istituto Luigi Mangiagalli, Via della Commenda 12, 20122 Milano, Italy.
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.
ABSTRACT
The laparoscopic Vecchietti’s modified technique in Rokitansky syndrome: anatomic, functional, and sexual long-term results