title: Evaluation of vaginal agenesis treated with the modified McIndoe technique: A retrospective study.
abstract: OBJECTIVE
  Retrospective analysis of cases that have undergone neovagina operation because of congenital vaginal agenesis was objected.
  
  
  METHODS
  Seven cases applying with the complaints of primary amenorrhea or inability to have sexual intercourse were in the study. The cases were diagnosed with congenital vaginal agenesis and operated at Mustafa Kemal University Training and Research Hospital between 2011 and 2014. Vaginoplasty by the modified McIndoe method was performed in all cases. The main complaint, chromosomal analysis, duration of operation, preoperative and postoperative vaginal length, complications, postoperative treatment, and satisfaction from the sexual intercourse were all evaluated.
  
  
  RESULTS
  Average age of our patients was 28.14±8.61 (19-39) years. One patient was 46XX-45X0 mosaic Turner syndrome), 1 patient was 46XY (testicular feminization), and other 5 patients were 46XX. The average duration of operation was 2.7±0.56 (2-3.5 h). Postoperative infection was observed in 1 patient. In this infected patient, graft failure occurred and debridement was performed in reoperation. No early complications were seen in the others. Preoperative and postoperative average vaginal lengths were 1.85±0.62 (1-3 cm) and 8.71±1.11 (7-10 cm), respectively. Dyspareunia occurred in 2 cases that were not able to use dilatator regularly: 1 because of cancelation of marriage and the other because of postoperative infection; regular sexual life was achieved in remaining 5 (71%) cases.
  
  
  CONCLUSIONS
  Although there is no consensus about the ideal method of making a functioning vagina among different specialties. The modified McIndoe technique is the most applied method by gynecologists and simple, minimally invasive and with low morbidity.
authors.affiliation: Department of Obstetrics and Gynecology, Mustafa Kemal University School of Medicine, Hatay, Turkey.
authors.forename: Oya Soylu
authors.initials: OS
authors.lastname: Karapınar
authors.affiliation: Department of Plastic and Reconstructive Surgery, Mustafa Kemal University School of Medicine, Hatay, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Özkan
authors.affiliation: Department of Obstetrics and Gynecology, Mustafa Kemal University School of Medicine, Hatay, Turkey.
authors.forename: Ayşe Güler
authors.initials: AG
authors.lastname: Okyay
authors.affiliation: Department of Obstetrics and Gynecology, Başkent University School of Medicine, Ankara, Turkey.
authors.forename: Hanifi
authors.initials: H
authors.lastname: Şahin
authors.affiliation: Department of Obstetrics and Gynecology, Mustafa Kemal University School of Medicine, Hatay, Turkey.
authors.forename: Kenan Serdar
authors.initials: KS
authors.lastname: Dolapçıoğlu
keywords: Vaginal agenesis; modified McIndoe technique; vaginoplasty