Surgical Reconstruction of the Congenitally Atretic Cervix

Jacob JH; J H Jacob; JOSEPH H. JACOB; Griffin WT; WILLIAM T. GRIFFIN; W T Griffin

doi:10.1097/00006254-198907000-00011

Surgical Reconstruction of the Congenitally Atretic Cervix

Jacob JH, J H Jacob, JOSEPH H. JACOB, Griffin WT, WILLIAM T. GRIFFIN, W T Griffin

Obstetrical & gynecological survey · 1989 · vol. 44(7) , pp. 556 · doi:10.1097/00006254-198907000-00011 · PMID:2662083 · W2029762845

review OA: closed CC0 ⤵ 2 in-corpus citations

Full text JSON View on OpenAlex View on PubMed View at publisher

⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This paper describes surgical reconstruction of congenitally atretic cervices in two patients, resulting in cyclic menses and fistula formation, with long-term outcomes detailed.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-13 · read from full text ⓘ

This review describes the surgical reconstruction of congenitally atretic cervix in two patients treated at the University of Missouri Hospital. The authors utilized the atretic cervical tissue to create an endometrial-vaginal fistula, requiring a total of three surgeries for both individuals to achieve successful cyclic menses. One patient underwent a hysterectomy twenty-two years later due to pelvic pain and endometriosis, while the other maintained regular menstruation with mild dysmenorrhea after forty-four months of follow-up. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Two patients diagnosed at the University of Missouri Hospital underwent reconstructive surgery utilizing the atretic cervix as a conduit for the formation of an endometrial-vaginal fistula. A total of three surgeries was performed with both patients experiencing the onset of cyclic menses. One patient, followed for 22 years, never attempted to conceive and eventually succumbed to hysterectomy for pelvic pain and endometriosis. The other has been followed for 44 months and continues to have regular menses with mild dysmenorrhea. Less than 50 cases of congenital cervical atresia have been reported in the literature. The operative procedures and literature experience are provided.

Full text 928 characters · extracted from oa-doi-fallback · click to expand

Review: PDF Only Surgical Reconstruction of the Congenitally Atretic Cervix Two Cases - JOSEPH H. JACOB - WILLIAM T. GRIFFIN Obstetrical & Gynecological Survey 44(7):p 556, July 1989. Two patients diagnosed at the University of Missouri Hospital underwent reconstructive surgery utilizing the atretic cervix as a conduit for the formation of an endometrial-vaginal fistula. A total of three surgeries was performed with both patients experiencing the onset of cyclic menses. One patient, followed for 22 years, never attempted to conceive and eventually succumbed to hysterectomy for pelvic pain and endometriosis. The other has been followed for 44 months and continues to have regular menses with mild dysmenorrhea. Less than 50 cases of congenital cervical atresia have been reported in the literature. The operative procedures and literature experience are provided. Copyright © Williams & Wilkins 1989. All Rights Reserved.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisdysmenorrhea

MeSH descriptors

Cervix Uteri Surgery, Plastic Adolescent Cervix Uteri Cervix Uteri Female Humans Hysterectomy Intrauterine Devices Surgery, Plastic

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cited by (2)

Source provenance

europepmc: last seen: 2026-08-19T06:08:28.815611+00:00
openalex: last seen: 2026-06-04T00:00:01.174412+00:00
pubmed: last seen: 2026-05-13T22:09:10.744835+00:00
unpaywall: last seen: 2026-08-19T06:23:00.919175+00:00

License: CC0 · commercial use OK