Long-term results after neovagina creation in Mayer-Rokitanski-Kuster-Hauser syndrome by Vecchietti's operation.

Abstract

OBJECTIVES:

To evaluate the long-term results after Vecchietti's operation.

STUDY DESIGN:

Twenty Mayer-Rokitanski-Kuster-Hauser (MRKH) syndrome patients underwent creation of a neovagina using Vecchietti's operation by laparotomy (17 cases) and laparoscopy (3 cases).

RESULTS:

The mean age of the patients was 21 years (16-34). After 66 months (24-156) of follow-up, the mean length x diameter of the neovagina was 8.2 cm x 2.8 cm. The neovaginal epithelium was macroscopically similar to normal vaginal mucosa, except for one patient who had subsequently undergone insertion of skin graft. Post-operative sexual behavior revealed sexual desire and pleasure (100%), lubrication (94%), clitoral orgasm (87%) and vaginal-mediated orgasm (69%). Finally, 16 patients out of 18 (89%) were completely satisfied with the results of the operation.

CONCLUSION:

Vecchietti's operation may be suggested as one of the choice of treatments to correct vaginal aplasia in young MRKH syndrome patients.

• Authors: Jean-Luc Brun, Geneviève Belleannée, Nadine Grafeille, Anny-France Aslan, Georges H Brun
• Journal: European journal of obstetrics, gynecology, and reproductive biology (Eur J Obstet Gynecol Reprod Biol) Vol. 103 Issue 2 Pg. 168-72 (Jul 10 2002) ISSN: 0301-2115 [Print] Ireland
• PMID: 12069742 (Publication Type: Case Reports, Journal Article)

Topics

• Abnormalities, Multiple (surgery)
• Adolescent
• Adult
• Constriction, Pathologic
• Female
• Follow-Up Studies
• Gynecologic Surgical Procedures (psychology)
• Humans
• Orgasm
• Postoperative Complications
• Sexual Behavior (psychology)
• Surgically-Created Structures
• Syndrome
• Uterus (abnormalities, surgery)
• Vagina (abnormalities, surgery)