open access

Vol 80, No 2 (2009)
ARTICLES
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Anatomical and functional effect of laparoscopic Vecchietti operation

Tomasz Rechberger, Paweł Miotła, Aleksandra Bartuzi, Marta Monist, Aneta Adamiak
Ginekol Pol 2009;80(2).

open access

Vol 80, No 2 (2009)
ARTICLES

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.

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.
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Keywords

operation, agenesis - vagina, sexuality

About this article
Title

Anatomical and functional effect of laparoscopic Vecchietti operation

Journal

Ginekologia Polska

Issue

Vol 80, No 2 (2009)

Bibliographic record

Ginekol Pol 2009;80(2).

Keywords

operation
agenesis - vagina
sexuality

Authors

Tomasz Rechberger
Paweł Miotła
Aleksandra Bartuzi
Marta Monist
Aneta Adamiak

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