Shakila Yasmin, Joveria Sadaf, Naheed Fatima.
Modified McIndoe and Davydov Vaginoplasty in patients with Vaginal Agenesis.
J Surg Pak Jan ;23(2):55-9.

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.

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