Uterine didelphys with duplicated upper vagina and bilateral lower vaginal agenesis: a novel Müllerian anomaly with options for surgical management.
OBJECTIVE
To describe a novel Müllerian anomaly and management options.


METHODS
Case series report.


METHODS
Metropolitan tertiary care children's hospital.


METHODS
Three caucasian girls, aged 12, 13, and 15 years, with a novel congenital anomaly.


METHODS
Interval staged vaginoplasties.


METHODS
Functional vagina.


RESULTS
Didelphys Müllerian development with vaginal duplication and agenesis of both lower vaginas with staged vaginoplasties resulting in normal functional vaginas.


CONCLUSIONS
Staged pull-through vaginoplasties led to functional outcome in this unusual anomaly.
Division of Gynecology, Department of Surgery, Children's Hospital Boston, Massachusetts 02115, USA.
Whitfield B
WB
Growdon
Marc R
MR
Laufer
D000293:Adolescent; D002648:Child; D003276:Contraceptives, Oral / Q000627:therapeutic use; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D019738:Surgically-Created Structures; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*
D003276:Contraceptives, Oral