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Safety and efficacy of Vecchietti vaginoplasty in vaginal agenesis: cohort study. Medellín, Colombia 2007-2012

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  • Additional Information
    • Transliterated Title:
      Seguridad y eficacia de la vaginoplastia de Vecchietti en agenesia vaginal: estudio de cohorte, en Medellín, Colombia, 2007 a 2012
    • Source:
      Publisher: Sociedad Colombiana De Obstetricia Y Ginecologia Country of Publication: Colombia NLM ID: 0404263 Publication Model: Print Cited Medium: Internet ISSN: 2463-0225 (Electronic) Linking ISSN: 00347434 NLM ISO Abbreviation: Rev Colomb Obstet Ginecol Subsets: MEDLINE
    • Publication Information:
      Publication: Bogota : Sociedad Colombiana De Obstetricia Y Ginecologia
      Original Publication: Bogotá [1950?]-
    • Subject Terms:
    • Abstract:
      Objective: To describe the Vecchietti vaginoplasty technique (VVT) in patients diagnosed with secondary vaginal agenesis and to analyze the safety and efficacy of this technique.
      Materials and Methods: Historical cohort of patients with vaginal agenesis secondary to Mayer- Rokitansky-Kuster-Hauser and androgen insensitivity syndromes, 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. Descriptive statistics were used.
      Results: The main complaint was primary amenorrhea (69.2%). Associated malformations 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 various techniques used for neovagina creation.
      Competing Interests: None declared
      (Copyright© 2019 This is an open-access article distributed under the terms of the Creative Commons Attribution License by-nc-nd/4.0.)
    • Contributed Indexing:
      Keywords: reconstructive surgical procedures; androgen resistance syndrome; enfermedades vaginales; procedimientos quirúrgicos reconstructivos; síndrome de resistencia androgénica; vaginal disease
      Local Abstract: [Publisher, Spanish; Castilian] describir la técnica de vaginoplastia de Vecchietti (TVV) en pacientes diagnosticadas con agenesia vaginal secundaria y hacer una aproximación a la seguridad y eficacia de esta técnica. [Publisher, Spanish; Castilian] cohorte histórica de pacientes con agenesia vaginal secundaria al síndrome de Mayer-Rokitansky-Kuster-Hauser y al síndrome de insensibilidad androgénica, a quienes se les realizó vaginoplastia por técnica de Vecchietti en el Hospital Universitario San Vicente Fundación, institución de referencia, de alta complejidad, en el periodo 2007 a 2012. Se excluyeron quienes tenían una vagina funcional para relaciones coitales. Muestreo consecutivo. Se midieron variables sociodemográficas, clínicas, de seguridad y de eficacia. Se utilizó estadística descriptiva. [Publisher, Spanish; Castilian] el principal motivo de consulta fue la amenorrea primaria (69,2 %). Las malformaciones asociadas fueron agenesia renal derecha (15,4 %) y malformaciones esqueléticas (15,4 %). Se presentó una perforación intraoperatoria de la vejiga y tres complicaciones menores (23,1 %) en el posoperatorio. En el 84,6 % de ellas se obtuvo una vagina funcional a un año de seguimiento. [Publisher, Spanish; Castilian] la TVV es una técnica quirúrgica simple que ha permitido obtener resultados funcionales satisfactorios con complicaciones menores. Se requieren estudios con grupo control para tener una mejor evaluación de la eficacia de las diferentes técnicas de construcción de la neovagina.
    • Subject Terms:
      Vagina, absence of
    • Publication Date:
      Date Created: 20191119 Date Completed: 20200521 Latest Revision: 20240229
    • Publication Date:
      20240229
    • Accession Number:
      10.18597/rcog.3177
    • Accession Number:
      31738486