Double uteri with cervicovaginal agenesis.
OBJECTIVE
To report results of managing complex malformation of the genital tract and to validate a newer classification (vaginal, cervix, uterus, adnexa-associated malformation [VCUAM]) for describing such complex anomalies.


METHODS
Case report.


METHODS
University hospital.


METHODS
A patient with complex genital malformation.


METHODS
Laparotomy, double hysterectomy, and vaginal reconstruction with use of bilateral neurovascular pudendal thigh flaps. Use of VCUAM classification for description of the anatomy of malformation.


METHODS
Creation of a neovagina and accurate and complete description of the anomaly.


RESULTS
Relief of pelvic pain and creation of patent and sensate vagina retaining the innervations of the erogenous zones. The VCUAM classification could accurately depict complex anatomic variations.


CONCLUSIONS
Vaginal reconstruction with use of bilateral neurovascular pudendal thigh flaps yields good postoperative results. The VCUAM classification reflects anatomic variations in external and internal organs precisely.
Singh
Gurcharan
G
Department of Plastic Surgery, Sri Devraj Urs University, Kolar, India.
Sunita
Venigalla
V
D000015:Abnormalities, Multiple / Q000145:classification / Q000601:surgery*; D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D013524:Surgical Flaps; D019738:Surgically-Created Structures; D009626:Terminology as Topic; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*