Laparoscopically assisted creation of a neovagina using the Louisville modification.

OBJECTIVE: To report a modification of the laparoscopic Davydov method for creation of a neovagina. DESIGN: Case study. SETTING: University gynecology practice. PATIENT(S): Female with vaginal agenesis. INTERVENTION(S): Laparoscopically assisted creation of a neovagina using a modified technique to improve both structural and functional capacity. MAIN OUTCOME MEASURE(S): Patient morbidity and satisfaction. RESULT(S): The patient satisfactorily underwent creation of a neovagina using the laparoscopic modification of the Davydov technique via the Louisville method. CONCLUSION(S): This laparoscopic modification allows for structural maintenance and functional capacity without increasing postoperative morbidity.