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

Dung H. Nguyen, Chyi Long Lee, Kai Yun Wu, Ming Huei Cheng*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

13 Scopus citations

Abstract

Objective: To report a novel technique for cervical reconstruction in a patient with congenital agenesis of the cervix. Design: Case report. Setting: University-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.

Original languageEnglish
Pages (from-to)2433.e5-2433.e8
JournalFertility and Sterility
Volume95
Issue number7
DOIs
StatePublished - 06 2011
Externally publishedYes

Keywords

  • Agenesis
  • cervix
  • mucosa
  • polytetrafluoroethylene
  • vagina

Fingerprint

Dive into the research topics of 'A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix'. Together they form a unique fingerprint.

Cite this