Tratamento cirúrgico e conservador da agenesia vaginal: análise de uma série de casos

purpose: this study aimed to evaluate the results of neovaginoplasty by a modified mcindoe-bannister technique and by the non-surgical frank technique. methods: this retrospective study was conducted on a convenience sample of 25 women with vaginal agenesis undergoing surgical or conservative treatment at an infant-pubertal gynecology outpatient clinic. data were obtained from the medical records. fifteen women underwent the surgical mcindoe-bannister modified technique surgical group, and 10 women underwent the non-surgical frank technique frank group. the following parameters were considered for comparative analysis between the two samples: vaginometry, surgical and non-surgical complications, and sexual satisfaction after treatment. sexual satisfaction was assessed by a simple question: how is your sex life? results: there were differences related to vaginal length before and after performing exercises in both frank group (initial vaginal length 2.4±2.0 cm versus 6.9±1.1 cm after treatment, p<0.0001) and surgical group (initial vaginal length 0.9±1.4 cm versus 8.0±0.8 cm after treatment, p<0.0001). increased vaginal length was observed in surgical group compared to frank group (frank group=7.0±0.9 cm versus surgical group=8.0±0.8 cm, p=0.0005). forty percent of surgical group women had surgical complications versus no complications with the frank technique. all women reported to be satisfied with their sexual life. conclusion: the present data indicate that both the surgical and frank techniques are effective for the treatment of vaginal agenesis, resulting in the construction of a vagina that pewrmits sexual intercourse and sexual satisfaction. the favorable aspects of the frank technique are related to its low cost and to the low rates of major complications.