title: Management of congenital absence of the vagina.
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.
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D011312:Pressure; D016038:Skin Transplantation; D014182:Transplantation, Autologous; D014621:Vagina / Q000002:abnormalities*