title: Effects of a surgical treatment of congenital cervicovaginal agenesia.
abstract: OBJECTIVE
  Congenital agenesis of the uterine cervix and vagina is one of the rarest congenital defects. The objective of this manuscript is to present our experience and effects of a surgical treatment in five girls with inborn agenesis of the uterine cervix and vagina, who were operated in our clinic.
  
  
  METHODS
  The vagina is reconstructed in four stages: (1) formation of vaginal recess; (2) phantomization of vagina; (3) joining of the reconstructed vagina with the uterus; (4) revision and correction of the junction. GnRH analogs were administered to avoid menstrual blood flow into the peritoneal cavity during phantomization.
  
  
  RESULTS
  Patency of the uterovaginal junction was maintained with a #6 intubation tube. Normal menstruation was restored in all patients. Atresion of the canal at the uterovaginal junction was disclosed after 3-8 months in three of the patients. Patency was restored with surgical hysteroscope and the canal was mechanically distended. Clinical and ultrasonographic followup in the patients will continue.
authors.affiliation: Chair and Clinic of Surgical Gynecology and Oncology of Adults and Children, Pomeranian University of Medicine in Szczecin, Poland. bedner@poczta.wp.pl
authors.forename: R
authors.initials: R
authors.lastname: Bedner
authors.forename: I
authors.initials: I
authors.lastname: Rzepka-Górska
authors.forename: A
authors.initials: A
authors.lastname: Błogowska
authors.forename: J
authors.initials: J
authors.lastname: Malecha
authors.forename: M
authors.initials: M
authors.lastname: Kośmider
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery