TREATMENT OF VAGINAL AGENESIS WITH MODIFIED ABBE-MCINDOE TECHNIQUE

In a patient with vaginal agenesis reconstruction of the neovagina is very important both functionally and psychologically. The absent vagin a can be constructed either by surgery or by an intermittent pressure technique defined by Frank. In this paper simple modification is prese nted which has good anatomical and functional results. For a young wom an without a vagina the ideal operation should create a vagina in one stage and at the same time produce a cosmetically attractive scar. Thi s goal can be achieved by the Abbe-McIndoe technique. A modification u sing a meshed split thickness skin graft for lining the neovagina is p resented. Between 1985-1991 in our clinic, 46 patients were treated. A follow-up study has been performed and biopsies were taken from this neovagina; these showed normal vaginal mucosa.