Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
European Journal of Medical Research
Published in: European Journal of Medical Research 1/2015

Open Access 01-12-2015 | Research

RETRACTED ARTICLE: Peritoneal vaginoplasty by Luohu I and Luohu II technique: a comparative study of the outcomes

Authors: Aiwen Le, Zhonghai Wang, Lili Shan, Tianhui Xiao, Rong Zhuo, Guangnan Luo

Published in: European Journal of Medical Research | Issue 1/2015

Login to get access

Abstract

Background

Surgical vaginoplasty is the standard treatment for women suffering from Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome. This study compares the advantages and disadvantages of Luohu I technique or its modification, Luohu II technique.

Methods

Women with MRKH syndrome undergoing laparoscopic peritoneal vaginoplasty using either the Luohu I (N = 145) or Luohu II (N = 155) technique were recruited. We compare the effectiveness of the Luohu II and one of Luohu I. Sexual satisfaction was checked by Female Sexual Function Index.

Results

There was no significant difference in the mean operation time, volume of intraoperative blood loss, time for the first passage of gas, sexual satisfaction (and hospital stay for patients in either group (P > 0.05). But patients in the Luohu II group had a significantly lower incidence of complications than patients in the Luohu I group. All patients had vaginal depths more than 9 cm over 3 months post-surgery.

Conclusions

Compared with the traditional Luohu I laparoscopic peritoneal vaginoplasty, the Luohu II operation is easier to perform and causes less damage to the bladder and rectum. The physiological and anatomical features of the artificial vagina resemble the normal vagina in both techniques.
Literature
1.
Zhu L, Wong F, Lang JH. Female genital abnormalities of minimally invasive surgery and map. Beijing: Peoples Health Press; 2010.
2.
Liao L, Doyle J, Crouch NS, Creighton SM. Dilation as treatment for vaginal agenesis and hypoplasia: a pilot exploration of benefits and barriers as perceived by patients. J Obstet Gynaecol. 2006;26:144–8.CrossRefPubMed
3.
Ismail-Pratt IS, Bikoo M, Liao LM, Conway GS, Creighton SM. Normalization of the vagina by dilator treatment alone in Complete Androgen Insensitivity Syndrome and Mayer–Rokitansky–Kuster–Hauser Syndrome. Hum Reprod. 2007;22:2020–4.CrossRefPubMed
4.
Creatsas G, Deligeoroglou E, Makrakis E, Kontoravdis A, Papadimitriou L. Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer–Rokitansky–Kuster–Hauser syndrome. Fertil Steril. 2001;76:1036–40.CrossRefPubMed
5.
6.
Morcel K, Lavoué V, Jaffre F, Paniel BJ, Rouzier R. Sexual and functional results after creation of a neovagina in women with MayerRokitansky–Küster–Hauser syndrome: a comparison of nonsurgical and surgical procedures. Eur J Obstet Gynecol Reprod Biol. 2013;169:317–20.CrossRefPubMed
7.
Csermely T, Halvax L, Sorkany A. Sexual function after modified laparoscopic Vecchietti’s vaginoplasty. J Pediatr Adolesc Gynecol. 2011;24:147–52.CrossRefPubMed
8.
Miller PB, Forstein DA. Creation of a neovagina by the Vecchietti procedure in a patient with corrected high imperforate anus. JSLS. 2009;13:221–3.PubMedPubMedCentral
9.
Kdous M, Chaker A, Ferchiou M, Zhioua F. The laparoscopic Vecchietti technique for vaginal agenesis. Tunis Med. 2013;91:371–5.PubMed
10.
Abramowicz S, Oden S, Joutel N, Roman H, Gromez A, Marpeau L. Laparoscopic creation of a neovagina by Vecchietti’s technique: anatomic and functional results. Gynecol Obstet Fertil. 2013;41:4–9.CrossRefPubMed
11.
Nakhal RS, Creighton SM. Management of vaginal agenesis. J Pediatr Adolesc Gynecol. 2012;25:352–7.CrossRefPubMed
12.
El-Sayed HM, El-Lamie IK, Ibrahim AM. Vaginat reconstruction with sigmoid colon in vaginal agenesis. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:1043–7.CrossRefPubMed
13.
Imparato E, Alfei A, Aspesi G, Meus AL, Spinillo A. Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients. Int Urogynecol J Pelvic Floor Dysfunct. 2007;8:1465–9.CrossRef
14.
Shi L, Ming D, Keke X, Chun ping W, Xie feng X, Juan Juan, Guan nan L. Laparoscopic peritoneal vaginoplasty. Chin J Obstet Gynecol. 2003;38:312–3.
15.
Shi L, Ming Zh, Guannan L, et al. Laparoscopic peritoneal vaginoplasty versus sigmoid loop vaginoplasty: a comparison study. Chin J Min inv Surg. 2005;5:65–6.
16.
Luo GN. Vaginoplasty. Beijing: People military surgeon publishing company; 2009.
17.
Ma J, Pan L, Lei Y, Zhang A, Kan Y. Prevalence of female sexual dysfunction in urban Chinese women based on cutof scores of the Chinese version of the female sexual function index:a preliminary study[J]. J Sex Med. 2014;11:909–19.CrossRefPubMed
18.
19.
Alessandrescu D, Peltecu GC, Buhimschi CS, Buhimschi IA. Neocolpopoiesis with split-thickness skin graft as a surgical treatment of vaginal agenesis: retrospective review of 201 cases. Am J Obstet Gynecol. 1996;175:131–8.CrossRefPubMed
20.
Ugur MG, Balat O, Ozturk E, Bekerecioglu M, Dikensoy E. Pitfalls in diagnosis and management of distal vaginal agenesis: 10-year experience at a single centre. Eur J Obstet Gynecol Reprod Biol. 2012;163:85–90.CrossRefPubMed
21.
Prakash V. Triple flap vaginoplasty for agenesis of the vagina. J Obstet Gynaecol Res. 2011;37:501–4.CrossRefPubMed
22.
23.
Khen-Dunlop N, Lortat-Jacob S, Thibaud E, Clement-Ziza M, Lyonnet S, Nihoul-Fekete C. Rokitansky syndrome: clinical experience and results of sigmoid vaginoplasty in 23 young girls. The Journal of urology. 2007;177:1107–11.CrossRefPubMed
24.
Borkowski A, Czaplicki M, Dobronski P. Twenty years of experience with Krzeski’s cystovaginoplasty for vaginal agenesis in Mayer–Rokitansky–Küster–Hauser syndrome: anatomical, histological, cytological and functional results. BJU Int. 2008;101:1433–40.CrossRefPubMed
25.
Dessy LA, Mazzocchi M, Corrias F, Ceccarelli S, Marchese C, Scuderi N. The use of cultured autologous oral epithelial cells for vaginoplasty in maleto-female transsexuals: a feasibility, safety, and advantageousness clinical pilot study. Plast Reconstr Surg. 2014;133:158–61.CrossRefPubMed
26.
Jo EJ, Lee YY, Kim TJ, Choi CH, Lee JW, Bae DS, Kim BG. Management and outcome of rectal injury during gynecologic laparoscopic surgery. J Minim Invasive Gynecol. 2013;20:166–71.CrossRefPubMed
27.
Cleary RK, Pomerantz RA, Lampman RM. Colon and rectal injuries. Dis Colon Rectum. 2006;49:1203–22.CrossRefPubMed
28.
Marianowski P, Kaminski P, Wielgos M, Szymusik I, Ludwikowski G. The comparison of microlaparoscopy and laparoscopy in pelvic region assessment in infertile women. Neuro Endocrinol Lett. 2007;28:704–7.PubMed
29.
Allen LM, Lucco KL, Brown CM, Spitzer RF, Kives S. Psychosexual and functional outcomes after creation of a neovagina with laparoscopic Davydov in patients with vaginal agenesis. Fertil Steril. 2010;94:2272–6.CrossRefPubMed
30.
Nowier A, Esmat M, Hamza RT. Surgical and functional outcomes of sigmoid vaginoplasty among patients with variants of disorders of sex development. Int Braz J Uro. 2012;38:380–8.CrossRef
31.
Carrard C, Chevret-Measson M, Lunel A, Raudrant D. Sexuality after sigmoid vaginoplasty in patients with MayerRokitansky–Küster–Hauser syndrome. Fertil Steril. 2012;97:691–6.CrossRefPubMed
32.
El-Sayed HM, El-Lamie IK, Ibrahim AM, El-Lamie KI. Vaginal reconstruction with sigmoid colon in vaginal agenesis. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:1043–7.CrossRefPubMed
33.
Creatsas G, Deligeoroglou E, Makrakis E, Kontoravdis A, Papadimitriou L. Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer–Rokitansky–Küster–Hauser syndrome. Fertil Steril. 2001;76:1036–40.CrossRefPubMed
Metadata
Title
RETRACTED ARTICLE: Peritoneal vaginoplasty by Luohu I and Luohu II technique: a comparative study of the outcomes
Authors
Aiwen Le
Zhonghai Wang
Lili Shan
Tianhui Xiao
Rong Zhuo
Guangnan Luo
Publication date
01-12-2015
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2015
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-015-0165-x

Other articles of this Issue 1/2015

European Journal of Medical Research 1/2015 Go to the issue

Research

Signaling pathway STAT1 is strongly activated by IFN-β in the pathogenesis of osteoporosis

Retraction Note

Retraction Note: Screening of key genes in gastric cancer with DNA microarray analysis

Research

Fabrication of electrospun poly(d,l lactide-co-glycolide)80/20 scaffolds loaded with diclofenac sodium for tissue engineering

Research

Angiotensin-converting enzyme insertion/deletion polymorphism, 24-h blood pressure profile and left ventricular hypertrophy in hypertensive individuals: a cross-sectional study

Research

“Different trend” in multiple primary lung cancer and intrapulmonary metastasis

Case report

Benign orbital angiomatous tumors with intracranial extension