Congenital absence of the vagina: Reconstruction without operation

The use of isolated sigmoid colon segment for vaginal replacement in young adults

“…However, in female patients with no vagina or only a dimple discomfort precludes adequate compliance. In addition, the vaginal vault usually appears shallow or flat following this technique [20] compared to the near normal vaginal appearance seen several years after bowel replacement vaginoplasty [21]. The nonoperative approach is appealing but clearly not applicable for most affected individuals.…”

Creation of a neovagina after Creatsas modification of Williams vaginoplasty for the treatment of 200 patients with Mayer-Rokitansky-Kuster-Hauser syndrome

“…Despite the good results of the method (success rate of 43%-89%) and the absence of surgical and anesthetic risks, young patients often cannot maintain the required compliance (20,(26)(27)(28)(29)(30)(31).…”

Creation of a neovagina in patients with Rokitansky syndrome using peritoneum from the pouch of Douglas: an analysis of 48 cases

“…The Frank method has the advantage of avoiding surgery; however, it requires long-term use of dilators, which may not be acceptable to some younger patients (10). Moreover, the depth of the vagina is limited, and the anatomical and functional success rates of the Frank method range from 43% to 100% (13)(14)(15).…”