title: Double uteri with cervicovaginal agenesis.
abstract: 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.
authors.affiliation: Department of Plastic Surgery, Sri Devraj Urs University, Kolar, India.
authors.forename: Gurcharan
authors.initials: G
authors.lastname: Singh
authors.forename: Venigalla
authors.initials: V
authors.lastname: Sunita
mesh_terms: 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*