Current Research on Modifications and Innovations in Mc Indoe Vaginoplasty for Better Outcomes

Vaginal agenesis is one of the most common female genital disorders. It may be an isolated problem or part of a syndrome. Apart from congenital causes, there are many other indications for vaginal reconstruction. Diagnosed late and having complex psychological issues, the reconstruction to provide a normal functioning vagina is a challenge. Although numerous techniques are described, there appears to be no consensus on which is the ideal one. Nor is there one opinion on when the reconstruction should be taken up. The McIndoe technique 22, 26, 27, has been used over the ages with success. Many modifications 45, 47 have been described. The present paper describes some modifications with which better results can be achieved consistently with this technique. To optimize sexual comfort, the clinical management of women with vaginal agenesis must be multidisciplinary and individually tailored.