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 language | English |
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Pages (from-to) | 2433.e5-2433.e8 |
Journal | Fertility and Sterility |
Volume | 95 |
Issue number | 7 |
DOIs | |
State | Published - 06 2011 |
Externally published | Yes |
Keywords
- Agenesis
- cervix
- mucosa
- polytetrafluoroethylene
- vagina