Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Vaginal creation for müllerian agenesis.

C P Roberts1, M J Haber, J A Rock

  • 1Department of Gynecology and Obstetrics, Emory University School of Medicine, Atalanta, GA 30322, USA.

American Journal of Obstetrics and Gynecology
|December 18, 2001
PubMed
Summary

Passive vaginal dilation (Ingram method) and McIndoe vaginoplasty are effective for creating neovaginas in patients with müllerian agenesis. Both methods achieve high success rates for vaginal canal creation, offering viable options for treatment.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Adaptive capacity in ecosystems.

Advances in ecological research·2020
Same author

Enhancing quantitative approaches for assessing community resilience.

Journal of environmental management·2018
Same author

Long-term survival of Stanmore total hip replacements inserted with radiolucent bone cement.

Hip international : the journal of clinical and experimental research on hip pathology and therapy·2017
Same author

Patient factors associated with identification of sepsis in the ED.

The American journal of emergency medicine·2014
Same author

Effects of environmental factors on microbial induced calcium carbonate precipitation.

Journal of applied microbiology·2011
Same author

Congenital adrenal hyperplasia: the surgical treatment of vaginal stenosis.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics·2010

Area of Science:

  • Gynecology
  • Surgical Innovation

Background:

  • Müllerian agenesis, including Mayer-Rokitansky-Kuster-Hauser syndrome, presents a significant challenge in vaginal canal creation.
  • Traditional treatment approaches often involve surgical interventions or conservative methods like dilation.

Purpose of the Study:

  • To evaluate the effectiveness of passive vaginal dilation (Ingram method) and modified McIndoe vaginoplasty in treating vaginal agenesis.
  • To compare the anatomic and functional success rates of these two primary treatment modalities.

Main Methods:

  • A retrospective review of 51 patients with Mayer-Rokitansky-Kuster-Hauser syndrome treated between 1983 and 1998.
  • Data collection involved medical record review and patient consultations, with follow-up ranging from 2 to 16.8 years.
  • Statistical analyses included one-way ANOVA, Student t test, and logistic regression.

Related Experiment Videos

Main Results:

  • Passive dilation (Ingram method) achieved 91.9% anatomic and functional success.
  • McIndoe vaginoplasty was successful in all patients who underwent the procedure, including those for whom dilation failed or was refused.
  • No loss of vaginal space or graft contraction was observed post-surgery.

Conclusions:

  • Passive dilation with the Ingram method effectively creates a functional and anatomical vaginal canal in patients with vaginal agenesis.
  • The modified McIndoe procedure serves as an excellent alternative for patients unsuitable for or unwilling to attempt dilation.
  • A trend towards immediate surgical correction over dilation techniques may be emerging.