Grys E, Friebe Z
Kliniki Ginekologii Instytutu Ginekologii i Połoznictwa AM w Poznaniu.
Ginekol Pol. 1994 Jun;65(6):307-13.
The influence some real factors on positive effect of creating artificial vagina was studied in a group of 37 women aged 13-40 with vaginal agenesis. Determination of the proper operation for vaginal agenesis depends on whether a cervix or functioning endometrium is present. Surgical management, in addition to vaginoplasty, aims to prevent the development pelvic endometriosis preserve the capacity for pregnancy. Two MR studies demonstrated the presence or absence of a normal cervix and functioning endometrium. MR imaging assisted in the classification of the abnormality by noninvasively demonstrating the details of pelvic anatomy and the uterine morphologic characteristics. In the McIndoe operation a space is opened up at the site of the absent vagina and a penile-shaped prosthesis draped with a split skin graft is inserted into the space and retained while the cavity epithelialises.
对37名年龄在13至40岁之间的先天性无阴道女性进行了研究，以探讨一些实际因素对人造阴道造口术积极效果的影响。确定先天性无阴道的适当手术方法取决于是否存在宫颈或有功能的子宫内膜。除了阴道成形术外，手术管理旨在预防盆腔子宫内膜异位症的发展，并保留怀孕能力。两项磁共振成像（MR）研究显示了正常宫颈和有功能的子宫内膜的存在与否。MR成像通过无创显示盆腔解剖细节和子宫形态特征，辅助对异常情况进行分类。在麦金杜手术中，在缺失阴道的部位开辟一个空间，将覆盖有劈开皮片的阴茎状假体插入该空间并保留，直至腔隙上皮化。
