A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix

Nguyen DH, Dung H Nguyen, Dung Nguyen, Chyi‐Long Lee, Lee CL, Chyi-Long Lee, Wu KY, Kai-Yun Wu, Kai‐Yun Wu, Ming‐Huei Cheng, Ming-Huei Cheng, Cheng MH
Fertility and sterility · 2011 · vol. 95(7) , pp. 2433.e5–2433.e8 · doi:10.1016/j.fertnstert.2011.02.007 · PMID:21377150 · W1966063460
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This paper describes a novel surgical technique for cervical reconstruction in patients with congenital agenesis, utilizing a polytetrafluoroethylene graft lined with vaginal mucosa.

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Abstract

ObjectiveTo report a novel technique for cervical reconstruction in a patient with congenital agenesis of the cervix.DesignCase report.SettingUniversity-based tertiary care hospital.Patient(s)A woman with congenital absence of the cervix, functional vagina, and adenomyosis uteri.Intervention(s)Laparoscopic-assisted creation of an uterovaginal fistula followed by placement of a polytetrafluoroethylene graft lined with vaginal mucosa graft to create the neocervix.Main outcome measure(s)Follow-up examinations with the hysteroscope confirmed unobstructed menstrual outflow through the patent neocervix.Result(s)The neocervix was completely mucosalized on the inner surface by 12 days postoperatively. The patient had return of menstrual bleeding at 4 weeks postoperatively. She has resumed normal sexual activities and had maintained regular menstrual cycles at the 6-month clinical follow-up. There were no complications related to the graft.Conclusion(s)Prosthetic reconstruction of the cervix using vaginal mucosa-lined polytetrafluoroethylene is easy to perform and effective. It offers an alternative treatment option for patients with cervical agenesis to preserve their reproductive potential.

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Condition tags

endometriosis

MeSH descriptors

Blood Vessel Prosthesis Cervix Uteri Genital Diseases, Female Gynecologic Surgical Procedures Polytetrafluoroethylene Prosthesis Implantation Surgically-Created Structures Vagina Cervix Uteri Cervix Uteri Cervix Uteri Endometriosis Endometriosis Endometriosis Female Genital Diseases, Female Genital Diseases, Female Genital Diseases, Female Gynecologic Surgical Procedures Humans

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