Nonoperative construction of the vagina: two unusual cases

Twelve additional cases are added to our previous report on nonoperative construction of the congenitally absent vagina, bringing the total reported cases to 20, of which 19 have been treated successfully, We have not found it necessary to construct a vagina surgically with skin grafting since adopting this method. Two unusual cases of vaginal agenesis are reported. One case required lower vaginal tract dilatation and hookup to a closed-end uterus. Normal menses for 14 months have followed. We believe this case meets the maximum requirements to prove the value of graduated dilatation of the congenitally atretic vagina.