Sexuality after laparoscopic Davydov in patients affected by congenital complete vaginal agenesis associated with uterine agenesis or hypoplasia

Abstract

Laparoscopic Davydov may be considered a good option for the surgical treatment of women presenting vaginal agenesis. This technique offers advantages such as: short operating time and hospital stay, no particular instrumentation required and no external scars. Sexuality approaches so-called 'normal sexuality'.

Surgical approaches to treating vaginal agenesis

“…6 In this procedure, the space between rectum and bladder is developed from the perineum and abdominally under laparoscopic guidance. It is then lined by peritoneal flaps that are freed laparoscopically from the pelvis.…”

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

“…In the future a validated patient questionnaire will be offered to such patients. All except 1 patient resumed sexual activity with a median delay of 10 weeks (range, [8][9][10][11][12][13][14][15]. Vaginal sensation was reported as ''minimal,'' but penetration was described as satisfactory and painless in 6 of 7 patients, along with normal vulvar sensitivity.…”

“…The presence of normal vaginal tissue in the inferior part is important to enable re-epithelialization of the peritoneal surfaces of the upper colpoplasty by squamous cells. In addition, interesting long-term results on sexual function after Davydov's technique in vaginal aplasia were previously described [14].…”

Mayer-Rokitansky-Küster-Hauser Syndome and Laparoscopic Assisted Creation of Neovagina (Modified Vecchietti)

“…The abdominal part of the procedure can be done laparoscopically nowadays. The main advantage is low morbidity and the disadvantages are post operative pelvik adhesions, post operative dilator requirement, operative difficulties when pelvik renal abnormalities present (7,16) .…”