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Construction of a neovagina is the next step for women with an absent vagina who have failed vaginal dilator therapy. Traditional operative techniques such as skin grafting or intestinal substitution have major disadvantages including prolonged recovery time and significant scarring. Laparoscopic vaginoplasty is performed widely throughout Europe but has not been available in the UK until now. We report on five women who underwent laparoscopic vaginoplasty. Three women underwent a laparoscopic Vecchietti procedure and two underwent a laparoscopic Davydov procedure. Details were recorded on preoperative features, perioperative problems and early postoperative outcome. Laparoscopic vaginoplasty is a safe treatment for vaginal agenesis, and shortterm results are encouraging.

Objectives-To determine the correlation between lower urinary tract symptoms and urodynamic findings in early pregnancy. Setting-The termination clinic and gynaecology ward at King's College Hospital. Design-Observational study. Subjects47 women before termination of pregnancy at between 6 and 15 weeks. Interventions-Women filled in symptom questionnaires and then had urodynamic investigations, consisting of uroflowmetry and subtracted provoked cystometry. Main outcome measures-The occurrence of lower urinary tract symptoms and their association with urodynamic findings. Results-Lower urinary tract symptoms were fairly common but there was poor correlation with the urodynamic findings. Conclusions-The findings suggest that lower urinary tract symptomatology alone is insufficient to study lower urinary tract dysfunction in pregnancy.

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