A 21-year-old girl who had never menstruated was having sexual difficulties after one month of marriage.

Although aware that not to have menses was abnormal, she had not consulted a physician but had hoped that menstruation would “some day start.” The patient said she had had mild lower abdominal pains intermittently.

The body contours, breasts and distribution of hair were normal. The clitoris, the labia majora and minora and the urathra were also normal. No vaginal introitus or dimple could be found on careful inspection of the mucous membrane from urethra to anus. The mucosa  could be forcibly invaginated a distance or no more than 1cm. Upon rectal examination a mass 3cm in diameter was palpated. It was thought this might be an infantile, nonfunctioning uterus. An intravenous pyelogram showed the upper and lower urinary tracts to be normal.
A laparotomy was performed under general anaesthesia and in a semilithotomy position allowing both abdominal and perineal approaches. A large dissection of the anterior space (between the bladder and the uterus), and of the posterior space (between the rectum and the uterus) was performed. This operation is to pull the cryptic vagina to the situ from the wrong place with the guidance of laparoscope. The length of the vagina was 12cm-15cm. A vaginal speculum was inserted smoothly, showing a pinky, wet, and normal-tensioned vaginal mucous membrane.

After operation, the girl can have a good sexual life as with a normal vagina.