Sethi Pruthwiraj, Devi Sujata, Dr. Achanta Vivekanand, Samantroy Subharanjan

^aAssistant Professor, Department of Obstetrics and Gynecology, ^bAssistant Professor, Department of Internal Medicine, ^cProfessor, Department of Obstetrics and Gynecology, Prathima Institute of Medical Sciences, Karimnagar, Andhra Pradesh, India.

Address for correspondence Dr. Sethi Pruthwiraj, Assistant Professor, Department of Obstetrics and Gynecology, Prathima Institute of Medical Sciences, Karimnagar , Andhra Pradesh, India.

Email: drpruthwiraj@gmail.com

Abstract

Background: Vaginal agenesis is a congenital anomaly of the female genital tract and may present as isolated developmental defect or as part of a complex of anomalies. The aim of reporting this case was to determine the effectiveness of vaginoplasty by using amnion as graft in the creation of neovagina for a patient with Mayer-Rokitansky-Kuster-Hauser Syndrome.

Case report: Vaginoplasty using amnion graft was successfully performed in this case of 23 year old young lady with MRKH type-II syndrome. Thefunctional result was quite satisfactory. Post surgical result was acceptable to the patient sexually and emotionally.

Conclusion: The ideal method for vaginoplasty is yet to be defined and all of the available methods have potential advantages, disadvantages or complications. Vaginoplasty by modified Abbe-McIndoe procedure using amnion graft is still a safe, relatively simple and effective procedure.

Key Words: Vaginoplasty, amnion graft, vaginal agenesis, Mayer-Rokitansky- Kuster-Hauser Syndrome