Modified Burch colposuspension: laparoscopy versus laparotomy.

Study Objective: To compare results of laparoscopic Burch colposuspension with those of classic Burch colposuspension, and to assess complications, results, and morbidity associated with each procedure.

Design: Prospective, randomized study (Canadian Task Force classification I).

Setting: Minimal access surgery unit.

Laparoscopic Vecchietti vaginoplasty.

Six patients with Mayer-Rokitansky-Kuster-Hauser syndrome underwent laparoscopic Vecchietti vaginoplasty. Five women reported satisfactory sexual activity 6 months later. The functional and mechanical outcomes are very encouraging.