Success following vaginal creation of mullerian agenesis

J. A. Rock, L. A. Reeves, H. Retto, T. A. Baramki, H. A. Zacur, H. W. Jones

Research output: Contribution to journalArticlepeer-review

Abstract

Eighty-eight women with mullerian agenesis underwent vaginal dilatation (n = 21) and/or vaginal creation using a modified McIndoe technique (n = 79). Patient and family counseling was considered an essential component of the therapy regimen. An initial trial of vaginal dilatation was successful in 9 of 21 patients (43%). Failure was associated with a prior vaginal exploration in eight women. All of the 79 women experienced satisfactory sexual activity and were satisfied with vaginal depth following vaginal creation using a split thickness graft technique. However, anatomic success, as judged by the surgeon, was noted in 72 patients (91%). Our experience suggests an initial trial of vaginal dilatation coupled with careful instruction and family counseling is appropriate in the motivated patient. However, vaginoplasty using a split thickness graft technique is highly successful and should be offered to those patients unwilling or unable to obtain an adequate neovagina with dilatation.

Original languageEnglish (US)
Pages (from-to)809-813
Number of pages5
JournalUnknown Journal
Volume39
Issue number6
DOIs
StatePublished - 1983

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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