Eighty-six cases of laparoscopic vaginoplasty using an ileal segment

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecologic Surgery

Background:

• Surgical management of vaginal absence presents significant technical challenges.
• Laparoscopy is a valuable tool for treating uterovaginal anomalies.

Purpose of the Study:

• To evaluate the feasibility and outcomes of laparoscopic vaginoplasty using an ileal segment.
• To compare total laparoscopic vaginoplasty with laparoscope-assisted vaginoplasty.

Main Methods:

• Retrospective study of 86 patients undergoing laparoscopic vaginoplasty with an ileal segment.
• Comparison of operation time, hospitalization cost, and duration between total laparoscopic and laparoscope-assisted groups.
• Statistical analysis using Student's t test and Mann-Whitney test.

Main Results:

• All surgeries completed successfully with no intraoperative complications.
• Three major postoperative complications: hemorrhage, meatal stenosis, and intestinal obstruction.
• High patient satisfaction with sexual function (78/86), with few reporting vaginal stenosis.
• Significant differences in operation time, hospitalization cost, and duration between the two laparoscopic techniques (P < 0.01).
• No significant difference in sexual function between total laparoscopic and laparoscope-assisted vaginoplasty.

Conclusions:

• Laparoscopic vaginoplasty with an ileal segment provides satisfactory cosmetic, functional, and anatomic results.
• Both total laparoscopic and laparoscope-assisted techniques achieve a high success rate in creating a functional vagina.
• This approach is a reliable option for patients with vaginal absence.