Abstract: Objective The surgical management of the congenital absence of vagina(Mayer-Rokitansky-Kuster-Hauser syndrome) and male-to-female transsexuals are a complex problem which refered to a significant technical challenge.The methods used for vaginoplasty induce including the split-thickness skin graft,full-thickness skin graft,and inverted penile skin flap.However,these procedures are not entirely satisfactory in cases of reconstructed vaginal stenosis,inadequate vaginal length,or poor lubrication.The small intestine,ascending colon,and sigmoid colon can be used in the intestinal flap method.Herein we present our successful experience with laparoscopy for vaginal reconstruction by the use of a modified ileal segment according to the Monti principle.At the same time,we compared with the difference between laparoscopic vaginal reconstruction and laparoscopic assisted vaginal reconstruction.Methods We analyzed the results of all 72 patients who underwent laparoeopic ileal vaginoplasty in Beijing Anzhen Hospital between February of 2004 and September of 2006.Results All the operations were successful.The mean operating time had not significance difference between total laparoscopic vaginoplasty and laparoscopic assisted ileal vaginoplasty(P>0.05).Conclusion Our results have confirmed the feasibility of laparoscopic perineal neovagina construction by ileal colpoplasty,total laparoeopic or laparoscopic assisted.Isolated ileal segments provided excellent tissue for vaginal replacement.

Key words: laparoscopy, ileum, vaginoplasty