ABSTRACT
L.V. Adamyan introduced a classification of genital malformations and outlined a paradigm of examination, surgical treatment, and rehabilitation of patients with malformations using modern imaging techniques, hysteroscopy and laparoscopy. This morphofunctional classification included the experience in management of over 2000 women with different genital malformations (aplasia of the uterus and vagina, vaginal aplasia with functional uterus, uterine malformations, complex combined malformations, disorders of sex formation). Laparoscopy and hysteroscopy not only help provide the definitive diagnosis of the full spectrum of malformations of the genitalia, but are the most rational methods to correct the majority of these gynecologic anomalies using minimally invasive operative approaches. In fact, endoscopic approaches are applicable and preferred for all classes of genital anomalies other than combined complex malformations.
