A simple surgical cure for congenital absence of the vagina

The correction of an absent vagina requires the creation of a canal either by surgery or by the intermittent pressure technique of Frank. Both methods have their drawbacks and it is difficult to persuade a patient to use a vaginal dilator alone, accurately and conscientiously for long enough to give a good result. A simple surgical alternative is described which gives good anatomical and functional results with minimal morbidity. It combines the positive features of the traditional McIndoe approach and the Frank method of vaginal development. Since 1976 the new isograft technique has been performed on 11 patients with excellent results and no complications.