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Management of congenital absence of the vagina
American Journal of Obstetrics and Gynecology
|February 1, 1981
Abstract:
The management of congenital absence of the vagina is facilitated where there is knowledge and understanding of any associated genetic, metabolic, and morphologic anomalies. Although the McIndoe split-thickness graft operation was the most commonly used method (15 patients), other surgical and nonsurgical alternatives were selectively utilized. In 10 women where a functioning uterus was present, laparotomy was necessary in six because of obstruction to uterine drainage. In the choice of treatment method to establish a functioning vagina, individualization is important, but certain guiding principles found to be useful are discussed.