@2024 Afarand., IRAN

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ISSN: 2251-8215    Sarem Journal of Reproductive Medicine 2018;2(2):

Information & Methods Laparoscopic Vaginoplasty with Modified Vecchietti Technique is a new method ‎in the treatment of vaginal agenesis. In this method, a combination of dilatation ‎and graftless surgery is used. This technique was first developed in 1992 for the ‎first time in the world, and it was used in Sarem Hospital in 2009 for the first time ‎in Iran. After primary examinations and the definitive diagnosis of Mayer-‎Rokitansky and Kuster-Hauser syndrome, 9 patients with vaginal agenesis were ‎operated by Laparoscopic Vaginoplasty, using Modified Mecchietti Technique ‎between 2009 and 2014; their surgical outcomes and their subsequent ‎consequences including sexual satisfaction were followed up and studied. Only 2 ‎out of 9 patients had complaints about their vaginal length because of lack of ‎regular intercourse. The average time for surgery was 2 hours and 8 minutes and ‎the mean vaginal length was 6.5 cm. According to the last patients’ follow up, the ‎minimum increased vaginal length was 3 cm and maximum vaginal length was 10 ‎cm. Also, the average hospitalization time was 7.3 days.‎
Conclusion All in all, compared with other vaginoplasty methods, the mentioned technique ‎has fewer side effects and it is more effective. Because of lack of transplantation, ‎there was no side effect of transplantation.‎