Laparoscopically assisted creation of a neovagina using the Louisville modification.

OBJECTIVE: To report a modification of the laparoscopic Davydov method for creation of a neovagina.

DESIGN: Case study.

SETTING: University gynecology practice.

PATIENT(S): Female with vaginal agenesis.

INTERVENTION(S): Laparoscopically assisted creation of a neovagina using a modified technique to improve both structural and functional capacity.

MAIN OUTCOME MEASURE(S): Patient morbidity and satisfaction.

RESULT(S): The patient satisfactorily underwent creation of a neovagina using the laparoscopic modification of the Davydov technique via the Louisville method.

CONCLUSION(S): This laparoscopic modification allows for structural maintenance and functional capacity without increasing postoperative morbidity.