Case 2005: Management of Vaginal Agenesis

Laparoscopically assisted creation of a neovagina using the Louisville modification

“…The syndrome results in aplasia of the uterus, cervix, and vagina. Individuals affected by this rare disorder have normal external genitalia, normally developed ovaries, and varying lengths of the lower vaginal segment that may develop (1)(2)(3). The majority of individuals are diagnosed during the course of an evaluation for primary amenorrhea.…”

“…A vagina can be created using graduated vaginal dilator techniques or surgery (1)(2)(3). Approximately 85% of patients will have success with vaginal dilation alone using the Ingram or Frank method (4,5).…”