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

Congenital anomalies of the uterine cervix: lessons from 30 cases managed clinically by a common protocol

“…A hysterotomy incision is necessary to help identify the lower portion of the uterine cavity, and some surgeons stress the importance of suturing the vaginal mucosa circumferentially at the level where the endometrial line is visualized such that the continuity of the mucosa lining of the uterovaginal canal avoids fibrous tissue overgrowth leading to stenosis. Moreover, if a vertical anterior hysterotomy is performed and extended to the most caudal portion of the endometrial canal, the new ostium is considerably larger than a neocervical canal and the risk of stenosis is decreased (11). Similar techniques have been used through the laparoscope (3,10).…”

Uterovaginal anastomosis for the management of congenital atresia of the uterine cervix

“…The success of uterovaginal anastomosis depends upon the size of the created ostium, the length of the new endocervical canal, the presence of vaginal mucosa adjacent to the end of the neo-ostium, and the duration of stenting [18]. Laparoscopically assisted utero-vestibular anastomosis is also reported, but data about post procedure reproductive performance is yet not available [19].…”

Massive Hematometra due to Congenital Cervicovaginal Agenesis in an Adolescent Girl Treated by Hysterectomy: A Case Report

“…Creation of the new vagina/cervix requires more complex operations [3, 5, 6, 8] associated with high morbidity and limited success, many of these patients ultimately requiring hysterectomy. In this patient reconstructive surgery was thought to be unsuitable because of the associated morbidity.…”