Laparoscopic treatment of vaginal agenesis: Three cases

ABSTRACT

Ninety per cent of cases of con- genital vaginal agenesis are represented by the Mayer- Rokitansky-Kuster-Hauser syndrome, the remaining 10% being represented by the testicular feminization syndrome and vaginal aplasia. Numerous surgical methods for the treatment of vaginal agenesis have been described. Neovagina construction by sigmoid colpoplasty seems to be the best surgical option as regards the anatomical and functional out- come. We report the case of three patients oper- ated of neovagina construction with a sigmoid graft by a laparoscopic-perineal approach. The surgical intervention lasted for 330 minutes, 210 minutes and 150 minutes respectively for the three patients. There were no perioperative complications. The duration of hospitalization was respectively 7, 4 and 6 days. The length of the neovagina was 15, 14 and 18 cm without retraction on the follow-up at 2 and 6 months. The vaginal wall maintained its paten- cy allowing normal intercourse. The patients had normal sexual life after the surgery. Our results demonstrate the feasibility of laparoscopic-perineal neovagina construction by sigmoid colpoplasty when it is performed by experienced surgeons in gynecology and digestive laparoscopic surgery