Laparoscopic vaginoplasty with cervical neo vaginal anastomosis in a case of complete vaginal agenesis in a young girl

Abstract

Complete vaginal agenesis is an extremely uncommon mullerian abnormality. In this case report, we described a case of a female patient, age 14, a known case of complete vaginal agenesis presented with severe cyclical dysmenorrhea. MRI suggested no vagina with a normal uterus and cervix with hematometra. She underwent laparoscopic vaginoplasty with cervico-neovaginal anastomosis. After surgery, the patient experienced regular menstrual cycles without dysmenorrhea. On follow-up, hysteroscopy showed a patent anastomosis, and she continued to have regular menstrual cycles.