LAPAROSCOPIC PERITONEAL COLPOPOIESIS: LONG-TERM ANATOMICAL AND FUNCTIONAL OUTCOMES

Abstract

Objective: To evaluate the long‑term anatomical and sexual outcomes of laparoscopic peritoneal colpopoiesis among women with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Material and methods. We conducted a retrospective and observational single center study. Between January 2007 and May 2017, 16 patients with MRKH syndrome were treated with laparoscopic peritoneal colpopoiesis procedure. Results. The mean age of patients at the time of diagnosis was 18.8 years, and that at the time of hospitalization was 20.6 years. Concomitant congenital anomalies, such as urinary tract anomaly, were reported in six (37.5%) patients, various malformations of the cardiovascular system were reported in two (12.5%) patients. Mean surgery duration was 122.6 minutes (range 65 – 295 min); mean intraoperative blood loss was 75.3 ml (range 30 – 200 ml). Anatomical success, along with the absence of stenosis and reduction of the tissue flap was achieved in 100% cases. According to the female sexual function index (FSFI), results show good quality of sexual life. One of the patients, thanks to transvaginal donation of oocytes and surrogate motherhood, is raising her own child at the age of 3 years. Conclusion. Laparoscopic peritoneal colpopoiesis can be used as an effective and low-traumatic technique for creating a neovagina, taking into account the anatomical structure of the perineum.