Abdominal surgical approach to a case of complete cervical and partial vaginal agenesis

Ayşe Gürbüz, Ateş Karateke, Berna Haliloğlu
In: Fertility and Sterility · 2005 · vol. 84(1) , pp. 217.e9–217.e11 · doi:10.1016/j.fertnstert.2005.01.112 · PMID:16009181 · W2121288396
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Abstract

ObjectiveTo construct a uterovaginal canal in a patient with a complete cervical agenesis and partial vaginal agenesis.DesignCase report.SettingZeynep Kamil Women's and Children Hospital.Patient(s)A 15-year-old woman presented with lower abdominal pain. On examination, partial vaginal agenesis with a 4-cm vagina was noted. A pelvic ultrasonography revealed hematometra and the absence of a cervix.Intervention(s)Surgical therapy included creation of an ostium by making 1.5-cm midline vertical hysterotomy incision, trimming away the fibrous tissue at the distal portion of uterus, and attaching the proximal end of the vagina to the uterus by the abdominal route. A stent was left in place for 2 weeks.Main outcome measure(s)Pelvic ultrasonography and clinical follow-up evaluation.Result(s)Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal.Conclusion(s)Cervicoplasty attaching the mucosal lining of the endometrium to that of the vagina permits the creation of a patent cervical canal with short stenting time.

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