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Vaginal agenesis: A case report

By Reyalu T. Tan, MD; Sigrid A. Barinaga, MD, FPOGS; and Marie Janice S. Alcantara, MD, FPOGS
Department of Obstetrics and Gynecology, Southern Philippine Medical Center

Congenital anomalies of the vagina are rare congenital anomalies. Women born with this anomaly present with collection of blood in the uterine cavity or hematometra and pelvic pain. Presented is a case of a 12-year old girl with hypogastric pain and primary amenorrhea complicated by vaginal agenesis. She was managed conservatively by creating a neovagina with the use of bipudendal flap or Modified Singapore flap. Management can be non-surgical or surgical but the management of congenital vaginal agenesis remains controversial. The decision to do a conservative surgical procedure or a hysterectomy depends on the clinical profile of the patient, the expertise of the surgeons, the extent of the anomaly, and its association to other congenital anomalies.