A technique for uterine conservation in adolescents with vaginal agenesis and a functional uterus.
Vaginal agenesis in association with a functional uterus occurs infrequently, and usually presents in adolescents. To preserve reproductive function, the uterus must be conserved, and a vagina must be constructed in one operative procedure. The authors describe a surgical technique that combines a modified McIndoe vaginoplasty with uterine conservation in which a special stent is fabricated to insert in the uterine cervix and the neovagina. Factors that must be considered when choosing between a hysterectomy and a uterine conservation procedure also are discussed.
D002584:Cervix Uteri / Q000601:surgery; D002648:Child; D005260:Female; D006409:Hematometra / Q000601:surgery*; D006801:Humans; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery