Use of laparoscopically mobilized peritoneum in the creation of a neovagina

Objective: To present an alternative technique for the creation of a neovagina. Design: Case study. Setting: Academic university gynecology clinic. Patient(s): A patient diagnosed with mullerian agenesis. Intervention(s): Laparoscopically assisted creation of a neovagina by using peritoneum. Main Outcome Measure(s): Patient morbidity and satisfactory intercourse. Result(s): The patient underwent the procedure satisfactorily and was discharged within 24 hours. She had no perioperative or postoperative complications, and she became satisfactorily sexually active. Conclusion(s): The use of laparoscopically mobilized peritoneum in the creation of a neovagina provided the patient with a functional vagina, allowing satisfactory intercourse. (Fertil Steril(R) 2000;74.589-92. (C) 2000 by American Society for Reproductive Medicine.).