Sexual Function after Modified Laparoscopic Vecchietti’s Vaginoplasty

Csermely, Tamás; Halvax, László; Sárkány, Ágnes; Jeges, Sára; Vizer, Miklós; Bózsa, S.; Farkas, Bálint; Bódis, József

doi:10.1016/j.jpag.2010.12.008

Cited by 19 publications

(12 citation statements)

References 61 publications

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“…Despite the recommendation for treatment in MRKHS, there is no consensus on the best technique 38 . In our study, average neovaginal length was 7 cm (7 ± 9.6), consistent with the results of other studies 6, 16, 36. The neovagina length in our study population ranged from 5.5 to 9.0 cm.…”

Section: Discussionsupporting

confidence: 92%

“…As in most studies, no decrease in FSFI total score was observed in our study 16, 33, 39, 40. No signs of sexual frustration were reported in women with a neovagina, although some studies have reported this occurrence 23, 37.…”

Section: Discussionsupporting

confidence: 53%

“…Some methods have definite advantages over others: the ideal neovagina maintains its original anatomic placement and is covered with original mucosa. The Vecchietti neovagina, which is covered by non-keratinized squamous epithelium, is the only option that meets the two criteria 14, 15, 16. Laparoscopic Vecchietti vaginoplasty is used at our gynecologic department.…”

Section: Introductionmentioning

confidence: 99%

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Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

et al. 2017

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IntroductionAdequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible.AimTo assess the psychosexual effect of vaginal reconstruction using the laparoscopic Vecchietti technique in patients with MRKHS.MethodsForty-two patients with MRKHS who underwent laparoscopic Vecchietti vaginoplasty were included. Their partners also were interviewed. A control group of 45 age-matched, childless, sexually active women were examined during the same period.Main Outcome MeasuresA gynecologic examination was performed to determine the anatomic outcome. Psychosexual function was evaluated with the Female Sexual Distress Scale–Revised (FSDS-R), the Female Sexual Function Index (FSFI), and a semistructured interview. Genital self-image was evaluated using the Female Genital Self-Image Scale (FGSIS).ResultsAverage neovagina length (7.0 ± 9.6 cm) in the MRKHS group was significantly shorter than the vaginal length in the control group (9.3 ± 2.5 cm). Women with a neovagina reported satisfactory sexual function (FSFI score = 29 ± 2.7) that was not significantly different from the control group (P < .05); however, they also had significantly higher levels of distress (FSDS-R score = 14.5 ± 6.5) and were not satisfied with their genitals (FGSIS score = 22.0 ± 2.4) compared with the control group.ConclusionSexual function in women with MRKHS can be restored successfully by vaginoplasty; however, they have higher rates of distress and are less satisfied with their genitals.Pastor Z, Fronĕk J, Nováčková M, Chmel R. Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty. Sex Med 2017;5:e106–e113.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

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Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

et al. 2017

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“…Several other methods to replace the vagina have been described. For instance, in adolescent girls, the commonly used laparoscopic modification of Vecchietti's vaginoplasty [23][24][25] has been shown to result in sexual function similar to that in controls but with more pain during sexual intercourse compared with controls. This technique has been described in one 21-year-old woman with imperforate anus and unrepaired vaginal atresia [18].…”

Section: Discussionmentioning

confidence: 99%

Vaginal agenesis or distal vaginal atresia associated with anorectal malformations

Wester

Tovar

Rintala

2012

Journal of Pediatric Surgery

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“…There are no significant differences between patients and age-matched normal controls with respect to satisfaction, desire, and arousal. 33,34 The Vecchietti procedure has been adapted as an endoscopic procedure with comparable results since 1992. 35 The procedure is an option for individuals who have no previous surgical scarring in the vesico-rectal space and who are likely to be successful with postoperative dilation.…”

Section: Surgical Assisted Dilation Methodsmentioning

confidence: 99%