A rare case report of vaginoplasty using amnion graft in an Afghan woman with Mayer-Rokitansky-Küster-Hauser syndrome: A first report in Afghanistan

INTRODUCTION: Mayer-Küster-Hauser (MRKH) syndrome is the second reason for primary amenorrhea. MRKHS is an uncommon congenital disorder characterized by agenesis of mullerrian structures, uterus, and upper two-thirds of the vagina, with normal fully developed secondary sexual characteristics. CASE PRESENTATION: This report describes the case of a 30-year-old married woman with primary amenorrhea. She had normal secondary sex characteristics, but the uterus, cervix, and upper two-thirds of the vagina were absent. She underwent the modified Abbe McIndoe procedure. The amnion membrane was mounted on the mold with a mesenchymal surface outward to adhere surface of the neovagina. After three months, it was not necessary to use the mold and sexual intercourse was recommended. DISCUSSION: The modified Abbe- McIndoe method with amnion graft is save, rapid, and simple procedure. The amnion membrane is easily storable and accessible. Therefore, this technique is effective and simple for developing countries including Afghanistan. CONCLUSION: This case indicates that the modified Abbe McIndoe methods can be used as a safe procedure in the treatment of MRKH Syndrome.