Creation of a neovagina in patients with Rokitansky syndrome using peritoneum from the pouch of Douglas: an analysis of 48 cases

ObjectiveTo evaluate the surgical feasibility and the long-term anatomical and functional results of the technique of vaginal reconstruction using peritoneum from the pouch of Douglas in patients with uterovaginal agenesis, known as Rokitansky's syndrome.DesignRetrospective single-institution case series.SettingA tertiary referral center for the treatment of female genital malformations.Patient(s)Forty-eight patients with vaginal agenesis.Intervention(s)Laparotomy and use of pelvic peritoneum to form a neovagina.Main Outcome Measure(s)Anatomical success was defined as a neovagina ≥8 cm in length that easily permitted the insertion of two fingers 6 months after corrective surgery. Functional success was considered to have been achieved when the patient reported satisfactory sexual intercourse beginning 6 months after surgery.Result(s)The surgical procedure was carried out uneventfully, and anatomical success was achieved in 100% of cases. Functional success was also achieved in the entire population studied.Conclusion(s)The construction of a neovagina using pelvic peritoneum is simple, safe, and effective in patients with Rokitansky syndrome.