title: Sheares' method of vaginoplasty - our experience.
abstract: BACKGROUND
  The Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is one of the most common causes of primary amenorrhoea and is associated with vaginal atresia and absent uterus despite the presence of normal ovaries and external genitalia. Various techniques have been used, with many disadvantages, to create a neovagina.
  
  
  OBJECTIVE
  Our aim is to create a neovagina with a simple and safe method.
  
  
  METHODS
  We have operated 18 cases of MRKH syndrome with the Sheares' method of vaginoplasty, in which the space between the two labia is dilated with a Hegar's dilator along the vestigial Mullerian ducts. Thus, two tunnels are created and the central septum is excised to form a single vagina. A mould covered with amnion is placed in the neovagina. All cases are followed up for six months. They have all had a good length of vagina with regular manual dilatation.
  
  
  CONCLUSIONS
  The Sheares' method of vaginoplasty is an easy and safe method to create a neovagina with least complications, like injury to urinary bladder, rectum or bleeding.
authors: Department of Obstetrics and Gynecology, NRS Medical College and Hospital, Kolkata and PGMER and SSKM Hospital and Medical College, Kolkata, India.
authors: Somajita
authors: S
authors: Chakrabarty
authors: Partha
authors: P
authors: Mukhopadhyay
authors: Gouri
authors: G
authors: Mukherjee