Modified McIndoe procedure for vaginal agenesis

Between 1982 and 1997, 29 patients with congenital absence of the vagina un derwent modified McIndoe vaginoplasty at the Division of Plastic and Recons tructive Surgery, Ege University Medical School, Izmir, Turkey. As a modifi cation, an X incision was utilized instead of a straight-line horizontal or sagittal incision. During the first postoperative week, a perforated Pyrex rigid mold was used. This was replaced with an unperforated mold at the en d of the first week. These patients' medical records were reviewed retrospe ctively. Complications encountered included infection, total lack of skin g raft take, stress urinary incontinence, partial graft loss, and vaginal str icture. All complications were treated except the stress urinary incontinen ce, and the final results were satisfactory.