Successful treatment of cervical aplasia using a peritoneal graft.
OBJECTIVE
To evaluate the efficacy of a peritoneal graft for the treatment of cervical aplasia.


METHODS
Four patients with cervical aplasia who had a functioning endometrium and hematometra were recruited for this clinical trial. Through an abdominoperineal approach a plastic stent was inserted between the endometrial cavity and the upper part of the vagina; then, a graft of peritoneum was applied over the stent. In the absence of a vagina, grafts of skin or amniotic membrane were also used. The plastic stent was removed after 1 month in 2 patients and after 1 week in the 2 other patients.


RESULTS
After more than 1 year of observation the 4 patients had regular menstrual cycles with normal menstruation. Sonographic examinations also showed empty uterine cavities.


CONCLUSIONS
Traditional gynecology textbooks recommend hysterectomy in cases of cervical aplasia. This report presents a new technique with 2 variations using a peritoneal graft. Although both variations were successful in the treatment of cervical aplasia in 4 women, more trials are needed to determine which one should be developed.
Alborzi
S
S
Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, P.O. Box: 71345-1818, Shiraz, Iran. alborzis@sums.ac.ir
Momtahan
M
M
Parsanezhad
M E
ME
Yazdani
M
M
D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities*; D020878:Device Removal; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010537:Peritoneum / Q000637:transplantation*; D015607:Stents