{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T15:40:24Z","timestamp":1793979624724,"version":"4.8.0"},"reference-count":12,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,19]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>A woman in the early 30s presented with primary amenorrhoea and absence of vaginal canal, seeking surgical correction as she wished to get married. Further evaluation led to a diagnosis of Mayer-Rokitansky-K\u00fcster-Hauser syndrome. She had normal ovarian function and well-developed secondary sexual characteristics. The absence of a functional vagina had caused significant emotional distress, including anxiety, low self-esteem, a sense of incompleteness and social stigma related to marriage. Following confirmation of the diagnosis, a multidisciplinary team successfully performed McIndoe vaginoplasty using a custom-made collapsible mould and a split-thickness skin graft, creating an 8 cm long neovagina. The patient recovered well, regained self-esteem, married and now enjoys a fulfilling personal life, underscoring the transformative impact of coordinated care in such rare congenital anomalies.<\/jats:p>","DOI":"10.1136\/bcr-2025-268662","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T10:40:25Z","timestamp":1761907225000},"page":"e268662","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Vaginal agenesis in MRKH syndrome: integrating surgical technique with long-term psychosexual support"],"prefix":"10.1136","volume":"18","author":[{"given":"Preeti","family":"Gattani","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, DMMC, Nagpur, Maharashtra, 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