Anatomical and functional effect of laparoscopic Vecchietti operation

Abstract

Summary Objective: To evaluate surgical: anatomical and functional effect of the laparoscopic Vecchietti procedure to treat women with vaginal agenesis. Methods: Retrospective analysis of 10 patients operated in the II-nd Department of Gynecology Medical University of Lublin, Poland. The length of vagina and macroscopic evaluation of it structure was assessed in each case. Sexually active women for more than 6 months answered the BISF-W questionnaire (Brief Index of Sexual Functioning for Women). The results were analyzed comparing health age-matched controls. Results: The mean age of operated women was 22.8+/-4.5 year whereas in the control group 22.9+/-3.3 year. In two operated patients the small areas of granulation were found in the vagina: in one woman on the side wall of vagina in the other in the apex. The mean length of neo-vagina was 8+/-2.1cm, whereas in the control group 10+/-1.0cm. The difference was statistically significant (U Mann-Whitney test, p=0.013). BISF-W scores were comparable in both groups. Conclusion: The laparoscopic Vecchietti operation allows to create shorter vagina in comparison to health women but the sexual life of this patients is as satisfying as the normal controls.