Csermely Tamás, Halvax László, Sárkány Agnes, Jeges Sára, Vizer Miklós, Bózsa Szabolcs, Farkas Bálint, Bódis József
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Pécs, Pécs, Hungary.
J Pediatr Adolesc Gynecol. 2011 Jun;24(3):147-52. doi: 10.1016/j.jpag.2010.12.008. Epub 2011 Mar 3.
To report on minor modification of laparoscopic Vecchietti vaginoplasty and to examine the quality of sexual life after the operation.
A retrospective study to examine the role of minor modification during laparoscopic Vecchietti operation to prevent injuries and to evaluate the sexual function of patients with neovagina.
Department of Obstetrics and Gynecology, University of Pécs, Faculty of Medicine, a tertiary supply center in Hungary. PATICIPANTS: Twenty-three adolescents or young adults, ages 16 to 26 with vaginal agenesis (Mayer-Rokitansky-Küster-Hauser syndrome) were operated. Twenty-five sexually active patients with matched age served as controls.
Laparoscopic Vecchietti operation was modified with the use of endovaginal ultrasound transducer to visualize the narrow vesico-rectal space. The quality of sexual life 2-11 years after the operation was measured by the Female Sexual Function Index (FSFI).
Complications occurring during operations; desire, arousal, orgasm, satisfaction, lubrication, and pain during sexual intercourse.
The technical modification of the operation, with endovaginal transducer, improved the method. Serious injuries of the bladder or rectum could be avoided. Anatomic and functional results shown by the total FSFI scores did not differ from that of the control group. Desire, arousal, orgasm, and satisfaction of the operated patients were similar to controls; however, patients with neovagina tended to have less lubrication and more pain during sexual intercourse.
Laparoscopic Vecchietti operation modified by the use of endovaginal transducer is a safe procedure to create a neovagina, which guarantees good quality of sexual life with high satisfaction for patients.
报告腹腔镜Vecchietti阴道成形术的微小改良，并检查术后性生活质量。
一项回顾性研究，旨在探讨腹腔镜Vecchietti手术中微小改良在预防损伤方面的作用，并评估新阴道患者的性功能。
匈牙利佩奇大学医学院妇产科，三级医疗供应中心。
23名年龄在16至26岁之间患有阴道发育不全（迈耶-罗基坦斯基-库斯特-豪泽综合征）的青少年或年轻成年人接受了手术。25名年龄匹配的性活跃患者作为对照。
使用阴道内超声换能器对腹腔镜Vecchietti手术进行改良，以可视化狭窄的膀胱直肠间隙。术后2至11年的性生活质量通过女性性功能指数（FSFI）进行测量。
手术期间发生的并发症；性交时的欲望、唤起、性高潮、满意度、润滑和疼痛。
采用阴道内换能器对手术进行技术改良后，改进了该方法。可避免膀胱或直肠的严重损伤。FSFI总分显示的解剖和功能结果与对照组无差异。手术患者的欲望、唤起、性高潮和满意度与对照组相似；然而，新阴道患者在性交时润滑较少且疼痛较多。
使用阴道内换能器改良的腹腔镜Vecchietti手术是创建新阴道的安全手术，可保证患者性生活质量高且满意度高。
