Safety and efficacy of Vecchietti vaginoplasty in vaginal agenesis: cohort study. Medellín, Colombia 2007-2012
DOI:
https://doi.org/10.18597/rcog.3177Keywords:
Reconstructive surgical procedures, vaginal diseases, androgen resistance syndromeAbstract
Objective: To describe the Vecchietti vaginoplasty technique (VVT) in patients diagnosed with secondary vaginal agenesis and to analyze the safety and effica-cy of this technique.
Materials and methods: Historical cohort of patients with vaginal agenesis sec-ondary to Mayer-Rokitansky-Kuster-Hauser and androgen insensitivity syn-dromes, 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. De-scriptive statistics were used.
Results: The main complaint was primary amenorrhea (69.2%). Associated mal-formations 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 vari-ous techniques used for neovagina creation.
Author Biographies
Jorge Enrique Aristizábal-Duque, Departamento de Ginecología y Obstetricia Universidad de Antioquia
Médico y cirujano; especialista en Ginecología y Obstetricia; especialista en Medicina Reproductiva. Profesor del Departamento de Ginecología y Obstetricia de la Universidad de Antioquia, Medellín, Colombia.
Joan Camilo Piedrahíta-Mejía, Departamento de Ginecología y Obstetricia Universidad de Antioquia
Médico y cirujano; especialista en Epidemiología; especialista en Edición de Publicaciones. Profesor del Departamento de Ginecología y Obstetricia de la Universidad de Antioquia, Medellín, Colombia.
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