The purpose of this study is to evaluate short, and long-term results of laparoscopic-assisted colpopoesis, using large bowel autograft for the surgical treatment of 37 patients with vaginal agenesis (Mayer–Rokitansky–Küster–Hauser syndrome), operated between 1996 and 2012.
There were no cases of conversion to laparotomy and no cases of major postoperative morbidity. The follow-up period was 97 (range 5–187) months. Gynecological examinations demonstrated good morphology of the artificial vagina. All patients reported a satisfying sexual life. The sigmoid colon autograft method of vagina reconstruction produces results which are very close to the natural anatomy and vaginal function. For the patients with a vestibule-rectal fistula, we devised a laparoscopic technique of colpopoesis using a rectal stump autograft. The laparoscopic technique of colpopoesis is feasible, safe, and seems to be the treatment of choice for the congenital vaginal agenesis.