Modified McIndoe and Davydov Vaginoplasty In Patients With Vaginal Agenesis

Shakila Yasmin, Joveria Sadaf, Naheed Fatima

Abstract

Objective

To compare the modified McIndoe versus Davydov vaginoplasty techniques in terms of complication rates and operative time in patients with vaginal agenesis.

Study design

Quasi experimental.

Place & Duration of study

This study was conducted in the Department of Obstetrics and Gynaecology Bahawal Victoria Hospital Bahawalpur, from January 2005 to December 2016.

Methodology

A total of 60 patients were included in the study after taking informed consent. They were divided in two groups, A and B, with 30 patients in each. After relevant investigations group A underwent modified McIndoe and group B, Davydov vaginoplasty. Patients were followed up to six months postoperatively. Operative time and complications were noted on a form.

Results

Mean age of the study participants was 16.34±3.27 year. Mean operative time in group A was 28.80±6.53 minutes while in group B 65.93±14.34 minutes. No patients in group A sustained any injury while in group B, 5 (16.66%) patients had perioperative complications (p=0.02). In group B, 2 (6.66%) patients had bladder and 3 (10%) rectal injuries. In follow up period of six months, 1 (3.33%) patient in group A had partial vaginal stenosis (p=0.313). Functional results of both the groups were satisfactory.

Conclusion

Modified McIndoe vaginoplasty is relatively a simple, safe, effective and less time consuming procedure as compared to Davydov vaginoplasty to treat the patients of vaginal agenesis.

Key words •

Vaginoplasty, Vaginal agenesis, McIndoe vaginoplasty, Davydov vaginoplasty.