Modified Williams Operation for Vaginal Agenesis-A Case Report

Vaginal agenesis is not rare. Many ingenious procedures have been devised for its correction; some are simple, and some are complicated. Each has it advantages and disadvantages. One must evaluated each patient individually and used the simplest technique which will give the best result in the particular patient involved. The Williams operation had first been reported in 1964. This involves use of the tissue of the labia to form a functional vagina without invasion of the pelvis and the subsequent morbidity. There was one case of vaginal agenesis at T.S.G.H. in the past one year to which we applied the modified Williams operation with the Z-plasty technique for a neovagina.