Follow-Up in Women With Vaginal Agenesis After Laparoscopic Creation of Neovagina

Study ObjectiveTo compare 2 different methods to create a neovagina in patients with Rokitansky syndrome and to describe their functional results during the follow-up.DesignDescriptive study on functional outcome in 32 patients with Rokitansky syndrome (Canadian Task Classification Force II-2).SettingUniversity tertiary Hospital.Design and Patients18 patients (group 1) underwent our original technique. 14 patients (group 2) were operated on with the modified technique.InterventionComparison between 2 different techniques of laparoscopic approach.ResultsBoth groups had excellent surgical outcomes. The modified technique (group 2) obtained an optimal vaginal depth in fewer days than in the first group (p < .001). Consequently, the hospital stay was shorter in the second group (p < .001). Follow-up was 85 months for group 1 and 17.2 months for group 2. Functional outcome was excellent during the follow-up in both groups.ConclusionLaparoscopic creation of a neovagina is a safe, minimally invasive treatment with good functional and sexual results.