Vagina atresia and agenesis (complete lack of vaginal development) are congenital anomalies of the female genitourinary tract and may occur as an isolated developmental defect or as part of a complex of anomalies. Examples of some of these associations include the Rokitansky-Mayer-Küster-Hauser (RMKH) syndrome, Bardet-Biedl syndrome, Kaufman-McKusick syndrome, Fraser syndrome, and Winters syndrome. Delayed detection is common and can result in major risk to the female patient because of associated urinary tract anomalies. Early detection is possible if health care providers include a genital examination as part of their well-child examination
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