Vaginal agenesis: an analysis of ninety cases

This study of 90 cases of vaginal agenesia showed the following results: 50% of the patients sought medical advice when between 16 and 20 years of age; 71.1% of the patients were not married; amenorrhea was present in 100% of the cases, with hypogastric pains in 20%; the uterus was not palpable clinically in 77.7% of the cases; 77.7% of the patients had agenesis, 11.1% had partial agenesis and 7.7% had homatometra; through laparotomy, 75.5%% were found to have normal ovaries, 92.5% of the cases were histologically normal; laparotomy showed the uterus as solid rudimentary in 55.5% of the cases and absence of the uterus in 24.4% of the cases; the Fallopian tubes were normal in 32.22% of the cases and rudimentary in 46.6%; excretion urography disclosed renal anomalies in 17.5%; surgical treatment by the McIndoe technique, carried out in 90 cases, gave 90.5% satisfactory results; the follow-up made between one and 5 years, in which the long-term use of an acrylic mould is recommended in those who do not have sexual relations, showed permanence of the satisfactory results 91.3% of the cases, of which 83.3% were after one operation only; neovaginal cytology, done between one and 6 years, showed 72.2% of the cases with acidophyl cells between 5 and 20% with acidophily between 21 and 40%.