EXPERIENCES WITH MC INDOES VAGINOPLASTY IN MAYER –ROKITANSKY- KUSTER- HAUSER SYNDROME-A CASE SERIES

Background:- Vaginal agenesis or developmental absence of the vagina is one of the major congenital anomalies of the female genital tract. It is estimated to occur in 1 in 4,000-5,000 live female births.It may present either as an isolated developmental defect or within a complex of more extensive anomalies.Vaginal agenesis is most commonly associated with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. The aim of this study was to share the experiences of McIndoe vaginoplasty operation, in the creation of a neovagina for patients with vaginal agenesis. Material and Methods:- This is a retrospective study of ten cases of vaginal agenesis, who had undergone McIndoe vaginoplasty over a period of 4 years (2008-2011) at Pravara Rural Hospital, a tertiary care teaching hospital located in rural area of Maharashtra,India. Results:- : McIndoe Vaginoplasty was performed with acrylic mould covered with partial thickness skin graft from the thigh in ten patients.The average age of the patients was 20 years.Nine women were unmarried at the time of surgery. The anatomical results were quite satisfactory.There were no major peri-operative complications.Average duration of hospital stay was twelve days.Four patients were found to have vaginal stenosis during the follow-up visits, due to non use or infrequent use of the vaginal mould. Conclusion:- McIndoe Vaginoplasty is a safe ,technically simple and useful procedure to treat the patients of vaginal agenesis.Good compliance regarding persistent use of the mould in postoperative period is essential for attaining functional neovagina.