Creation of a neovagina in patients with Rokitansky syndrome using peritoneum from the pouch of Douglas: an analysis of 48 cases

Objective

To evaluate the surgical feasibility and the long-term anatomical and functional results of the technique of vaginal reconstruction using peritoneum from the pouch of Douglas in patients with uterovaginal agenesis, known as Rokitansky's syndrome.

Design

Retrospective single-institution case series.

Setting

A tertiary referral center for the treatment of female genital malformations.

Patient(s)

Forty-eight patients with vaginal agenesis.

Intervention(s)

Laparotomy and use of pelvic peritoneum to form a neovagina.

Main Outcome Measure(s)

Anatomical success was defined as a neovagina ≥8 cm in length that easily permitted the insertion of two fingers 6 months after corrective surgery. Functional success was considered to have been achieved when the patient reported satisfactory sexual intercourse beginning 6 months after surgery.

Result(s)

The surgical procedure was carried out uneventfully, and anatomical success was achieved in 100% of cases. Functional success was also achieved in the entire population studied.

Conclusion(s)

The construction of a neovagina using pelvic peritoneum is simple, safe, and effective in patients with Rokitansky syndrome.

Key Words: Neovagina, Rokitansky syndrome, genital malformations, uterovaginal agenesis, pelvic peritoneum, construction