2014
DOI: 10.1016/j.jpag.2014.02.002
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Laparoscopically Assisted Neovaginoplasty in Vaginal Agenesis: A Long-Term Outcome Study in 240 Patients

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Cited by 52 publications
(40 citation statements)
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“…Positive reactions of relief as well as negative emotions were possible [24] – however, the negative expressions appear to predominate. Examples described in other studies include shock, confusion, fear, depression, suicidal thoughts, isolation, shame, guilt, and denial [9, 24]. One review mentions feelings of loss and fear [15].…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Positive reactions of relief as well as negative emotions were possible [24] – however, the negative expressions appear to predominate. Examples described in other studies include shock, confusion, fear, depression, suicidal thoughts, isolation, shame, guilt, and denial [9, 24]. One review mentions feelings of loss and fear [15].…”
Section: Resultsmentioning
confidence: 99%
“…After the diagnosis, the patient should be offered counseling to a specialiced center, which offers also psychological counseling to emphasize that a normal sex life will be possible after a neovagina has been created, especially as long-term results are very good [9] but also to tell them how to deal with the problem of infertility, wich comes up normally later, at the age of mid to late twenties.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, with an anatomical success rate of 97–99%, the neovagina retains an adequate size even in the absence of regular sexual intercourse, and there is no need for long‐term dilation. The procedure is fast, effective, and minimally traumatic, with low rates of long‐term complications (1–1.8%) even in the presence of urinary tract malformations such as pelvic kidney . Surgical vesicorectal tunnelling is not required and the use of vaginoabdominal blunt perforation of the vaginal dimple is not associated with high complication rates or poor functional outcome.…”
Section: Methodsmentioning
confidence: 99%
“…Surgical vesicorectal tunnelling is not required and the use of vaginoabdominal blunt perforation of the vaginal dimple is not associated with high complication rates or poor functional outcome. This low‐risk procedure creates a vaginal canal in the correct axis that provides an adequate size and secretory capacity for vaginal intercourse without the need for continual postoperative dilation, and therefore requires minimal care to maintain the long‐term benefits of the procedure …”
Section: Methodsmentioning
confidence: 99%
“…Moreover, Fedele and colleagues evaluation of the neovaginal pouch reveals an almost identical mucosa to that of a normal vagina in 106 MRKH cases [157]. A team from Germany reported a 16-month follow-up of 240 patients who underwent a modified Vecchietti procedure for neovagina creation; shorter operation and traction times, better functional results, and fewer surgical long-term complications were noted compared to the traditional laparoscopic Vecchietti procedure [158,159]. Cetin et al reported the long-term follow-up of 62 patients who underwent the modified Vechietti procedure; no complications were noted, while a median vaginal length of 7 cm was achieved [160].…”
Section: The Vecchietti Proceduresmentioning
confidence: 99%