کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3959663 1255461 2011 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Sexual Function after Modified Laparoscopic Vecchietti’s Vaginoplasty
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Sexual Function after Modified Laparoscopic Vecchietti’s Vaginoplasty
چکیده انگلیسی

Study ObjectiveTo report on minor modification of laparoscopic Vecchietti vaginoplasty and to examine the quality of sexual life after the operation.DesignA retrospective study to examine the role of minor modification during laparoscopic Vecchietti operation to prevent injuries and to evaluate the sexual function of patients with neovagina.SettingDepartment of Obstetrics and Gynecology, University of Pécs, Faculty of Medicine, a tertiary supply center in Hungary.PaticipantsTwenty-three adolescents or young adults, ages 16 to 26 with vaginal agenesis (Mayer-Rokitansky-Küster-Hauser syndrome) were operated. Twenty-five sexually active patients with matched age served as controls.InterventionsLaparoscopic Vecchietti operation was modified with the use of endovaginal ultrasound transducer to visualize the narrow vesico-rectal space. The quality of sexual life 2–11 years after the operation was measured by the Female Sexual Function Index (FSFI).Main Outcome MeasuresComplications occurring during operations; desire, arousal, orgasm, satisfaction, lubrication, and pain during sexual intercourse.ResultsThe technical modification of the operation, with endovaginal transducer, improved the method. Serious injuries of the bladder or rectum could be avoided. Anatomic and functional results shown by the total FSFI scores did not differ from that of the control group. Desire, arousal, orgasm, and satisfaction of the operated patients were similar to controls; however, patients with neovagina tended to have less lubrication and more pain during sexual intercourse.ConclusionsLaparoscopic Vecchietti operation modified by the use of endovaginal transducer is a safe procedure to create a neovagina, which guarantees good quality of sexual life with high satisfaction for patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric and Adolescent Gynecology - Volume 24, Issue 3, June 2011, Pages 147–152
نویسندگان
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