Surgical management of congenital atresia of the cervix

Zarou, Georges S.; Acken, Henry S.; Brevetti, Raimondo C.

doi:10.1016/s0002-9378(16)36167-1

Cited by 23 publications

(5 citation statements)

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“…Some published cases have achieved to keep menstruation but not pregnancies and, in general, hysterectomy is required [102]. Nevertheless, Zarou et al [254] described conception in one patient after the creation of a long fistulous way through a rudimentary cervix after longitudinal incision on the anterior wall of the uterus and placing of small polyethylene tubes sutured to the endometrium. Other authors have used similar techniques, or modifications, or have used a T-shape rubber tube removed after 3 months [255].…”

Section: Müllerian Anomaliesmentioning

confidence: 99%

Malformations of the Female Genital Tract and Embryological Bases

Acién

2007

CWHR

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Female genital tract malformations are frequently a cause of reproductive problems. Besides, complex malformations also frequently generate serious gynecological problems, often ones with inappropriate surgical solutions, as the gynecologist does not think of the malformation as either the cause of the symptoms or of its embryonary origin. Apart from analyzing the embryological bases in the development of the female genital tract and insisting on the well known müllerian origin of the uterus, the ratification of the embryological hypothesis about the origin of the human vagina from the Wolff ducts and the Müller tubercle allows us to not only advance in knowledge but to use that knowledge for better clinical management of the problems generated by the complex malformations of the female genital tract. In this review we study the methods and means for the diagnosis of female genital-urinary malformations, their classification and clinical findings, and especially those cases involving unilateral renal agenesis, vaginal ectopic ureter and other complex malformations. We also analyze the related obstetric and gynecologic pathology, and especially that cases of complex genital malformations. We review the related literature and some interesting case reports, as well as our experimental studies in rats. After reasserting our hypothesis about the embryology of the human vagina as derived from the Wolff ducts and the Müller tubercle, we suggest different recommendations for a better approach and management of the malformations of the female genital tract according to the findings observed in different diagnostic procedures.

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Section: Müllerian Anomaliesmentioning

confidence: 99%

Malformations of the Female Genital Tract and Embryological Bases

Acién

2007

CWHR

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“…Congenital cervical atresia is rare, and is a clinical entity distinct from other Müllerian anomalies. To our knowledge, 59 cases of congenital cervical atresia have been reported in the literature thus far 1 –18 . Including our case, the presenting complaint in 52 patients was that of amenorrhoea, the majority also having recurrent pelvic pain.…”

Section: Discussionmentioning

confidence: 55%

“…Whilst surgical canalization affords a 68% success rate, as determined by regular menses, in women with a normal vagina, this falls to 43% in cases where canalization is combined with vaginoplasty 18 . Complications of canalization include pelvic inflammatory disease, 4 , 6 , 9 septicaemia 4 , 9 and stenosis of the newly formed canal, 2 , 3 , 4 , 12 all of which are increased by concomitant vaginoplasty. The overall risk of hysterectomy following canalization is 33% 18 …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic hysterectomy and assisted Vecchietti procedure to treat congenital cervical and vaginal atresia

Broome¹,

Cerqui²,

Vancaillie³

et al. 1999

Gynaecol Endoscopy

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Objective To report a case of complete cervical and vaginal atresia treated by laparoscopic hysterectomy and assisted Vecchietti procedure. Subject An 18‐year‐old woman requesting formation of a neovagina. The initial diagnosis of cervical and vaginal atresia had been made by ultrasound and confirmed by laparoscopy when the patient was aged 15 years. Results No intra‐ or postoperative complications were recorded. A neovagina with a depth of 7 cm and width of 1.5 cm was created. Subsequent use of vaginal dilators produced a functional vagina at 6 weeks postoperatively. Conclusion The use of laparoscopy to treat Müllerian anomalies, with the benefits of reduced postoperative morbidity and excellent cosmesis, should be supported.

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“…1,11,13,15,22 In 7 women the uterine fundus and atretic cervix were vertically incised, the vagina or neovagina entered, and a stent sutured in place along the entire length of the incision to remain for a variable period of time. 8,9,12,16,17 In one additional woman the technique used to connect the endometrial cavity with the upper third of a partially canalized vagina was not adequately described. Nine of these 25 women in whom an attempt was made to establish a uterovaginal communication and for whom any follow-up information is available ultimately underwent hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Five of them were managed initially by vertically incising the uterine fundus and atretic cervix to place a stent from the endometrial cavity to the vagina or neovagina. 9,16,17 Two of them had a uterovaginal communication established by bluntly forcing a stent through the atretic cervical segment. The remaining 2 had the endometrial cavity directly anastomosed to the neovaginal apex.…”

Section: Discussionmentioning

confidence: 99%

Congenital Atresia of the Uterine Cervix

Farber¹

1986

Semin Reprod Med

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Surgical management of congenital atresia of the cervix

Cited by 23 publications

References 1 publication

Malformations of the Female Genital Tract and Embryological Bases

Malformations of the Female Genital Tract and Embryological Bases

Laparoscopic hysterectomy and assisted Vecchietti procedure to treat congenital cervical and vaginal atresia

Congenital Atresia of the Uterine Cervix

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