[McIndoe operation in a case of vaginal agenesis. Considerations on the subject]

Congenital absence of the vagina depends on partial or complete failure of Müllerian duct development. The ovaries develop normally and the fimbrial ends of the tubes are vestigial but there is no uterus, cervix or vagina. The urinary and genital systems and some skeletal portions developing from Müllerian ducts are so closely linked embryologically that congenital abnormality of kidney and bones is said to accompany genital defects in approximately 20% of cases. Several surgical techniques have been proposed but the gynecologist can have sufficient experience to choose the most suitable treatment according to the pecularities of each case. McIndoe Operation offers the best possible result opening a space between the ureta and the rectum and placing within in a large penile shaped mold draped with a split skin graft. This operation can result in a vagina that looks and feels absolutely normal but the most discouraging however is the time required for the completion of the whole treatment. There are several photos illustrating the procedure.