Six Cases of Congenital Absence of the Vagina Managed by McIndoe Operation.

Cho, Sung Duk; Jun, Hye Sun; Lee, Chung No; Kim, In Hyun; Ahn, Jae Young

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(1):223-228.
Published online January 1, 2001.

Six Cases of Congenital Absence of the Vagina Managed by McIndoe Operation.

Sung Duk Cho, Hye Sun Jun, Chung No Lee, In Hyun Kim, Jae Young Ahn

Abstract

Mullerian agenesis or dysgenesis, rare developmental anomaly presenting as primary amenorrhea, is characterized by absence of vagina and absence or rudimentary development of the uterus. Anatomic anomalies of the axial skeleton and kindney often accompany this psychologically devatating condition. There are various methods of surgical treatment for congenital absence of the vagina. The six cases reviewed in this paper were all treated with McIndoe technique. All of 6 women experienced satisfactory sexual activity and were satisfied with vaginal depth following vaginal creation using a split thickness skin graft technique. Despite the existence of several alternative methods, the McIndoe technique is a relatively simple and highly successful procedure and hence is still prefered by many surgeons.

Key Words: Vaginal agenesis, Rokitansky-Kuster-Hauser syndrome, McIndoe operation