Effects of a surgical treatment of congenital cervicovaginal agenesia.
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.
Bedner
R
R
Chair and Clinic of Surgical Gynecology and Oncology of Adults and Children, Pomeranian University of Medicine in Szczecin, Poland. bedner@poczta.wp.pl
Rzepka-Górska
I
I
Błogowska
A
A
Malecha
J
J
Kośmider
M
M
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