ABSTRACT
<p><b>OBJECTIVE</b>To investigate the types, clinical features and therapeutic approaches of congenital anomalies of the vagina.</p><p><b>METHODS</b>The clinical data of 81 patients with congenital anomalies of the vagina were analyzed retrospectively.</p><p><b>RESULTS</b>There were 5 types in these 81 patients, and 16 (19.7%) patients showed absence of the vagina, 15(18.5%) had vaginal obstruction, 10 (12.3%) had transverse vaginal septum,14(17.2%) had longitudinal vaginal septae,18(22.2%) had septum obliquus, and 8 (9.8%) had imperforate hymen. Forty-eight (59.2%) patients presented with primary amenorrhea, and 22(27.1%) complained of irregular pelvic pain. Fifteen of the patients with absent vagina underwent amnion artificial vaginoplasty, and the others were treated with incising and removing the septum, all having good clinical outcomes.</p><p><b>CONCLUSION</b>Amnion artificial vaginoplasty is a good option for treatment of absent vagina.</p>