Opening the Anterior Vaginal Vault: A Novel Approach to Vaginoplasty with a Modified McIndoe Procedure Using an Artificial Dermis

Yasuhiko Kamada, Ai Sakamoto, Kazuhiro Tabuchi, Miwa Matsuda, Keiko Shimizu, Mikiya Nakatsuka, Yuji Hiramatsu

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Background: Although preparation of a potential vaginal space between the bladder and rectum is a pivotal step in various vaginal reconstructions for patients with vaginal agenesis, few papers have mentioned the importance of this procedure. Case: We report the successful creation of a neovagina in 3 Japanese patients with Mayer-Rokitansky-Küster-Hauser syndrome using a novel modified McIndoe procedure that involved separation between the bladder and the rudimentary uterus in a laparoscopically assisted manner. Summary and Conclusion: Opening "the anterior vaginal vault" between the bladder and uterus is a novel concept of vaginal reconstruction; this approach has not been described hitherto in the literature. Based on the outcome of our cases, we conclude that this procedure is advantageous in creating a large and soft neovagina.

Original languageEnglish
Pages (from-to)e119-e122
JournalJournal of Pediatric and Adolescent Gynecology
Issue number5
Publication statusPublished - 2015



  • Anterior vaginal vault
  • Artificial dermis
  • Neovagina
  • Potential vaginal space
  • Vaginal agenesis
  • Vaginal canal
  • Vaginoplasty

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Pediatrics, Perinatology, and Child Health

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