Successful laparoscopic sigmoid transposition for cervicovaginal agenesis in the presence of a functioning uterus: A case series

Alborzi, Saeed; Najarkolaee, Elnaz Hosseini; Askary, Elham; Alborzi, Soroush; Chaman‐Ara, Kefayat; Zahiri, Ziba; Poordast, Tahereh

doi:10.1002/ijgo.14342

Intl J Gynecology & Obste

2022

DOI: 10.1002/ijgo.14342

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Successful laparoscopic sigmoid transposition for cervicovaginal agenesis in the presence of a functioning uterus: A case series

Saeed Alborzi

Elnaz Hosseini Najarkolaee

Elham Askary

et al.

Abstract: Congenital cervical agenesis is a female genital tract anomaly with an incidence of 1:80 000 to 1:100 000, 1 and approximately half of the patients experience congenital vaginal agenesis. 2 Fewer than 200 cases of cervicovaginal agenesis have been reported since 1942.The incidence is far less if it coexists with functioning uterus. 3 This condition usually presents with cyclic abdominal pain and amenorrhea, and if not diagnosed early, could give rise to hematometra and endometriosis as a result. 4

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2024

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Cited by 2 publications

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Long-Term Outcomes of the Restoration of Uterovaginal Continuity and Vaginoplasty—Utero-Colo-Neovaginoplasty—in Cervicovaginal Agenesis Using the Sigmoid Colon

Kumar,

Thotan,

Prabhu

et al. 2024

Int Urogynecol J

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Introduction and Hypothesis Congenital cervicovaginal agenesis in the presence of a functional endometrium is a rare Müllerian anomaly. The management ranges from hysterectomy historically to various reconstructive procedures more recently. We report our experience with utero-colo-vaginoplasty in the management of this anomaly and its long-term follow-up. Methods The case records of all the patients with vaginal or cervicovaginal agenesis in our hospital from January 2002 to December 2019 were reviewed retrospectively. The patients were then called for an outpatient visit and examined in detail. The anatomical variations, surgical procedures and outcomes were recorded and analysed. Results Sixteen patients aged 14 to 26 years were included during the study period. They presented with cyclical painful cryptomenorrhea. Magnetic resonance imaging (MRI) confirmed cervicovaginal or distal vaginal agenesis. All the patients underwent utero-colo-vaginoplasty. Intraoperative rectal injury led to post-operative faecal leak from the perineal wound in one patient in the post-operative period. Restoration of painless menstrual flow was possible in all 16 cases. Long-term complications were seen in 4 patients. These were stenosis of the perineal neovaginal orifice in 2 patients, obstruction at colo-uterine anastomosis in 1 patient and mucosal prolapse at the neovagina in 1 patient. Three of these patients needed secondary surgical procedures. Five were sexually active and reported consummation of penetrative intercourse. None of them had conceived. Conclusion In our experience, utero-colo-vaginoplasty allows for regular painless menstruation and coitus with minimal long-term complications. The sole disadvantage is the failure to conceive.

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Long-Term Outcomes of the Restoration of Uterovaginal Continuity and Vaginoplasty—Utero-Colo-Neovaginoplasty—in Cervicovaginal Agenesis Using the Sigmoid Colon

Kumar,

Thotan,

Prabhu

et al. 2024

Int Urogynecol J

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An innovative and effective approach of cervical canal penetration in patients diagnosed with type II vaginal atresia with adequate uterine corpus development: a case series

Xue,

Zhang,

Sun

et al. 2024

Curr Urol

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Objectives To develop an innovative and effective approach for cervical canal penetration in patients diagnosed with type II vaginal atresia with adequate uterine corpus development. Materials and methods Four patients underwent vaginal reconstruction surgery with laparoscopic and ultrasound-guided cervical canal penetration. The length and width of the neovagina were measured 0 and 6 months after surgery. Side effects were recorded during follow-up. Results The average age of the patients was 14.5 ± 3.3 years. After the surgical procedure, all patients had regular menstrual cycles. The average follow-up period was 32.3 ± 8.7 months. Conclusions Laparoscopic and ultrasound-guided cervical canal penetration after vaginal reconstruction is feasible in patients with type II vaginal atresia and adequate uterine corpus development.

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Successful laparoscopic sigmoid transposition for cervicovaginal agenesis in the presence of a functioning uterus: A case series

Cited by 2 publications

References 25 publications

Long-Term Outcomes of the Restoration of Uterovaginal Continuity and Vaginoplasty—Utero-Colo-Neovaginoplasty—in Cervicovaginal Agenesis Using the Sigmoid Colon

Long-Term Outcomes of the Restoration of Uterovaginal Continuity and Vaginoplasty—Utero-Colo-Neovaginoplasty—in Cervicovaginal Agenesis Using the Sigmoid Colon

An innovative and effective approach of cervical canal penetration in patients diagnosed with type II vaginal atresia with adequate uterine corpus development: a case series

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