Congenital absence of the vagina. Surgical treatment and perioperative care.

A simple surgical technique is described for the correction of an absent vagina. It combines the positive features of the traditional approach of using a split-thickness skin graft from the thigh or buttock applied on a plastic mold with the intermittent-pressure method of vaginal development. Since 1975, the new isograft technique has been performed on 15 patients at the Royal Women's Hospital, Melbourne, with excellent results and no complications. With one exception, satisfactory coitus productive of orgasm has occurred following the procedure.