Abstract
Congenital absence of the vagina is a rare condition, but is common enough to warrant serious consideration.Handling of cases from the psychologic standpoint is important, and operation should never be urged.Operation should not be advised until marriage is contemplated unless hematometra develops as the result of retained menses in a more or less normal uterus. If patients insist, operative correction is justifiable at any time.Two types of operation, the use of skin flaps or sections of the bowel may be employed. I believe that a section of small bowel used as advised by Baldwin gives the best functional results, and although a more dangerous operation, it is relatively safe when properly done. It is, moreover, justifiable.A dilator should be used until healing is satisfactory.
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