Abdominal surgical approach to a case of complete cervical and partial vaginal agenesis.
OBJECTIVE
To construct a uterovaginal canal in a patient with a complete cervical agenesis and partial vaginal agenesis.


METHODS
Case report.


METHODS
Zeynep Kamil Women's and Children Hospital.


METHODS
A 15-year-old woman presented with lower abdominal pain. On examination, partial vaginal agenesis with a 4-cm vagina was noted. A pelvic ultrasonography revealed hematometra and the absence of a cervix.


METHODS
Surgical therapy included creation of an ostium by making 1.5-cm midline vertical hysterotomy incision, trimming away the fibrous tissue at the distal portion of uterus, and attaching the proximal end of the vagina to the uterus by the abdominal route. A stent was left in place for 2 weeks.


METHODS
Pelvic ultrasonography and clinical follow-up evaluation.


RESULTS
Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal.


CONCLUSIONS
Cervicoplasty attaching the mucosal lining of the endometrium to that of the vagina permits the creation of a patent cervical canal with short stenting time.
Gurbuz
Ayse
A
Gynecologic Oncology and Pelvic Reconstructive Surgery Unit, Zeynep Kamil Women's and Children Hospital, Uskudar, Istanbul, Turkey. bernadr23@hotmail.com
Karateke
Ates
A
Haliloglu
Berna
B
D000005:Abdomen / Q000601:surgery; D015746:Abdominal Pain / Q000175:diagnosis / Q000601:surgery; D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D005836:Genitalia, Female / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D019738:Surgically-Created Structures; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*