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Treatment of Vaginal Aplasia Among Afghan Women With the McIndoe Vaginoplasty

Dixon, Donovan MD; Wali, Farzana MD; Hail, Sofia MD; Welch, Rick RN, MSN; Davis, Gary MD

Female Pelvic Medicine & Reconstructive Surgery: May-June 2010 - Volume 16 - Issue 3 - p 179-187
doi: 10.1097/SPV.0b013e3181c429ce
Original Article

Objectives: The aim of this study was to evaluate the effectiveness of the McIndoe vaginoplasty for patients with vaginal aplasia in Afghanistan.

Materials and Methods: This is a prospective study of 6 cases of vaginal aplasia which underwent McIndoe vaginoplasty over a period of 3 and one half years (2005–2008).

Results: The McIndoe vaginoplasty was performed successfully in all 6 patients. Functional results were satisfactory. One patient developed a perineal laceration over 3 weeks post surgery, apparently from overzealous dilatation. No patient developed vaginal stenosis and all were capable of sexual function within 3 months of the surgery. Postsurgical results were acceptable to the patients in all cases.

Conclusion: The McIndoe vaginoplasty is a safe and effective procedure for the treatment of vaginal aplasia, even in an austere surgical environment such as Afghanistan.

Six cases if vaginal aplasia occurring in Afghanistan were successfully treated with a modified McIndoe vaginoplasty procedure. In spite of austere surgical conditions and cultural challenges all six patients had satisfactory anatomical and functional results and were extremely satisfied with the course of therapy.

From the *United States Army; †CURE International Hospital, Kabul, Afghanistan; ‡Armed Forces Academy of Medical Sciences, Afghanistan.

Reprints: Rick Welch, RN, MSN, 4490 Great Oak Drive, N. Charleston, SC 29418. E-mail:

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