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Revista Colombiana de Obstetricia y Ginecología

Print version ISSN 0034-7434On-line version ISSN 2463-0225

Abstract

ARISTIZABAL-DUQUE, Jorge Enrique  and  PIEDRAHITA-MEJIA, Joan Camilo. Safety and efficacy of Vecchietti vaginoplasty in vaginal agenesis: cohort study. Medellín, Colombia 2007-2012. Rev Colomb Obstet Ginecol [online]. 2019, vol.70, n.3, pp.165-173. ISSN 0034-7434.  https://doi.org/10.18597/rcog.3177.

Objective:

To describe the Vecchietti vaginoplasty technique (VVT) in patients diagnosed with sec- ondary vaginal agenesis and to analyze the safety and efficacy of this technique.

Materials and methods:

Historical cohort of patients with vaginal agenesis secondary to Mayer- Rokitansky-Kuster-Hauser and androgen insensitivity syndromes, subjected to vaginoplasty using the Vecchietti technique at San Vicente Fundación University Hospital, a high complexity referral institution located in the city of Medellín, during the time period between 2007 and 2012. Patients with functional a vagina for intercourse were excluded. Sampling was consecutive. Sociodemographic, clinical, safety and efficacy variables were measured. Descriptive statistics were used.

Results:

The main complaint was primary amenorrhea (69.2%). Associated malformations included right renal agenesis (15.4%) and skeletal malformations (15.4%). There was one intra-operative bladder perforation and, postoperatively, there were three (23.1%) minor complications. At 1-year follow-up, a functional vagina had been obtained in 84.6% of cases.

Conclusion:

Vecchietti vaginoplasty is a simple surgical technique resulting in satisfactory functional outcomes with only minor complications. Further studies with control groups are required in order to better assess the efficacy of the various techniques used for neovagina creation.

Keywords : reconstructive surgical procedures; vaginal diseases; androgen resistance syndrome.

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