A STUDY ON CONGENITAL VAGINAL MALFORMATIONS IN RURAL POPULATION OF NORTH MAHARASHTRA REGION

Abstract

Objective: To find out types of vaginal malformations in rural population of North Maharashtra, to study various operative procedures designed for vaginal malformations and to evaluate the use of rubber mould for McIndoe operation. Method: Eighteen cases of congenital vaginal malformations were screened in OPD. We found seventeen patients of primary amenorrhea were having congenital vaginal malformation. One patient of stricture of upper vagina was having normal menstruation. They were investigated according to the standard protocol. After clinical examination patients were investigated by U.S.G. and I.V.P. sos and diagnostic laparoscopy, the investigations for operation were Hb, Urine (Alb. Sug. Microscopy), BSL (R), BUL, Serum creatine. Then all of them were operated between Jan.1985 to Oct. 2002 under general anaesthesia & the analysis was done. The type of operations done were 1) Mcindoe operation 2) Pull through operation 3) Excision of imperforate hymen. Results: Twelve cases of Rokitansky-Kuster-Hauster Syndrome were operated by McIndoe technique. None of the patients developed V.V.F. or R.V.F. The average vaginal length was 8.76 cms.; Four cases of imperforate hymen had undergone excision & Two cases of congenital stricture in upper vagina had undergone pull through operation Conclusions: Use of foam rubber mold is without any pressure necrosis of bladder or rectum.