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.