Minh H N, Smadja A, Belaisch J
Rev Fr Gynecol Obstet. 1985 Aug-Sep;80(8-9):629-34.
On the basis of the studies of the embryogenesis of the vagina, the authors consider that malformations classically described as being partial aplasia should not be separated from the total absence of the vagina. The important feature is the association of a functioning or non functioning uterus with the absence of the vagina. They believe that it is incorrect to describe the pouch of menstrual retention associated with a functioning uterus as "haematocolpos" and that is not justified to describe the cup-shaped vestibular depression as "hemi-vagina". According to the authors, although vaginal aplasia with a functioning uterus forming a pouch of menstrual retention constitutes an absolute indication for surgery, surgery is not justified in cases of vaginal aplasia with a non functioning uterus. If Frank's method fails in these cases, the patient or the couple should be referred to a sexologist, as women with this anomaly retain a perfect femininity, although unable to conceive.
基于对阴道胚胎发生的研究，作者认为，传统上被描述为部分发育不全的畸形不应与阴道完全缺失相区分。重要特征是存在功能正常或异常的子宫以及阴道缺失。他们认为，将与功能正常的子宫相关的经血潴留袋描述为“阴道积血”是不正确的，将杯状前庭凹陷描述为“半阴道”也是不合理的。作者认为，虽然伴有功能正常的子宫形成经血潴留袋的阴道发育不全是手术的绝对指征，但对于伴有功能异常的子宫的阴道发育不全病例，手术并不合理。如果弗兰克方法在这些病例中失败，应将患者或夫妇转介给性学家，因为患有这种异常的女性虽然无法受孕，但仍保留着完美的女性气质。
