[Evaluation of the influence of some factors for determining the effect of surgical creation of an artificial vagina].

The influence some real factors on positive effect of creating artificial vagina was studied in a group of 37 women aged 13-40 with vaginal agenesis. Determination of the proper operation for vaginal agenesis depends on whether a cervix or functioning endometrium is present. Surgical management, in addition to vaginoplasty, aims to prevent the development pelvic endometriosis preserve the capacity for pregnancy. Two MR studies demonstrated the presence or absence of a normal cervix and functioning endometrium. MR imaging assisted in the classification of the abnormality by noninvasively demonstrating the details of pelvic anatomy and the uterine morphologic characteristics. In the McIndoe operation a space is opened up at the site of the absent vagina and a penile-shaped prosthesis draped with a split skin graft is inserted into the space and retained while the cavity epithelialises.