McIndoe procedure for vaginal agenesis: long-term outcome and effect on quality of life.
OBJECTIVE
The purpose of this study was to evaluate quality of life, sexual function, and long-term outcome in women after undergoing the McIndoe procedure for vaginal agenesis.


METHODS
This was a retrospective descriptive study of patients who were treated with the McIndoe procedure for vaginal agenesis. Participants answered a structured questionnaire to describe self-reported outcomes in quality of life, sexual function and satisfaction, and body image after the McIndoe procedure. Patient characteristics along with short- and long-term findings were abstracted from the medical record.


RESULTS
Eighty-six patients responded to the questionnaire. Average age (+/-SD) at surgery was 21+/-6 years (range, 12-49 years). The mean number of years (+/-SD) since surgery was 23+/-12 (range, 2-50 years). Seventy-nine percent of the respondents stated that the McIndoe procedure improved their quality of life. Ninety-one percent of the respondents were sexually active, with 75% able to achieve orgasm. Reported self-image was improved in 55% of the women.


CONCLUSIONS
The McIndoe procedure improves quality of life and sexual satisfaction and provides a functional vagina with minimal complications.
Klingele
Christopher J
CJ
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.
Gebhart
John B
JB
Croak
Andrew J
AJ
DiMarco
Connie S
CS
Lesnick
Timothy G
TG
Lee
Raymond A
RA
D000293:Adolescent; D000328:Adult; D001828:Body Image; D002648:Child; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011336:Probability; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D012725:Sexual Behavior; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*