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. 2016 Jan 12;17(2):101-5.
doi: 10.5152/jtgga.2016.16013. eCollection 2016.

Evaluation of vaginal agenesis treated with the modified McIndoe technique: A retrospective study

Oya Soylu Karapınar  1 , Mustafa Özkan  2 , Ayşe Güler Okyay  1 , Hanifi Şahin  3 , Kenan Serdar Dolapçıoğlu  1
Affiliations

Evaluation of vaginal agenesis treated with the modified McIndoe technique: A retrospective study

Oya Soylu Karapınar et al. J Turk Ger Gynecol Assoc. .

Abstract

Objective: Retrospective analysis of cases that have undergone neovagina operation because of congenital vaginal agenesis was objected.

Material and methods: Seven cases applying with the complaints of primary amenorrhea or inability to have sexual intercourse were in the study. The cases were diagnosed with congenital vaginal agenesis and operated at Mustafa Kemal University Training and Research Hospital between 2011 and 2014. Vaginoplasty by the modified McIndoe method was performed in all cases. The main complaint, chromosomal analysis, duration of operation, preoperative and postoperative vaginal length, complications, postoperative treatment, and satisfaction from the sexual intercourse were all evaluated.

Results: Average age of our patients was 28.14±8.61 (19-39) years. One patient was 46XX-45X0 mosaic Turner syndrome), 1 patient was 46XY (testicular feminization), and other 5 patients were 46XX. The average duration of operation was 2.7±0.56 (2-3.5 h). Postoperative infection was observed in 1 patient. In this infected patient, graft failure occurred and debridement was performed in reoperation. No early complications were seen in the others. Preoperative and postoperative average vaginal lengths were 1.85±0.62 (1-3 cm) and 8.71±1.11 (7-10 cm), respectively. Dyspareunia occurred in 2 cases that were not able to use dilatator regularly: 1 because of cancelation of marriage and the other because of postoperative infection; regular sexual life was achieved in remaining 5 (71%) cases.

Conclusion: Although there is no consensus about the ideal method of making a functioning vagina among different specialties. The modified McIndoe technique is the most applied method by gynecologists and simple, minimally invasive and with low morbidity.

Keywords: Vaginal agenesis; modified McIndoe technique; vaginoplasty.

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Figures

Figure 1
Figure 1
Transverse incision between the rectum and bladder and a cavity up to peritoneal level
Figure 2
Figure 2
The mould (covered with the skin graft) is being placed into the vagina
See this image and copyright information in PMC

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References

    1. Rock John A, Jones Howard W. Te Linde’s Operative Gynecology. 9th Edition. Lippincott Williams & Wilkins; 2003. Ovarian cancer: Etiology, Screening and Surgery; pp. 711–23.
    1. Bastu E, Akhan SE, Mutlu MF, Nehir A, Yumru H, Hocaoğlu E, et al. Treatment of vaginal agenesis using a modified McIndoe technique: long- term follow -up of 23 patients and a literature review. Can J Plast Surg. 2012;20:241–4. - PMC - PubMed
    1. ACOG Committee on Adolescent Health Care. ACOG Committee Opinion. Nonsurgical diagnosis and management of vaginal agenesis. Obstet Gynecol. 2002;100:213–6. mailto: http://dx.doi.org/10.1097/00006250-200207000-00034?subject= - DOI - PubMed
    1. Evans PN, Poland NL, Boving RL. Vaginal malformations. Am J Obstet Gynecol. 1981;141:910–20. - PubMed
    1. Langer M, Grünberger W, Ringler M. Vaginal agenesis and congenital adrenal hyperplasia. Psychosocial sequelae of diagnosis and neovagina formation. Acta Obstet Gynecol Scand. 1990;69:343–9. mailto: http://dx.doi.org/10.3109/00016349009036159?subject= - DOI - PubMed

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