Objective: To describe a novel Müllerian anomaly and management options.

Design: Case series report.

Setting: Metropolitan tertiary care children's hospital.

Patient(s): Three caucasian girls, aged 12, 13, and 15 years, with a novel congenital anomaly.

Intervention(s): Interval staged vaginoplasties.

Main Outcome Measure(s): Functional vagina.

Result(s): Didelphys Müllerian development with vaginal duplication and agenesis of both lower vaginas with staged vaginoplasties resulting in normal functional vaginas.

Conclusion(s): Staged pull-through vaginoplasties led to functional outcome in this unusual anomaly.

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http://dx.doi.org/10.1016/j.fertnstert.2007.03.062DOI Listing

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