title: An atresia cervix removal, lower uterine segment substitute for cervix and uterovaginal anastomosis: a case report and literature review.
abstract: OBJECTIVE
  The management of cervical dysgenesis is still a big challenge, mostly due to the complexity of the malformation and the difficulty to conserve the patient's fertility during the surgery. The objective of this article is to report a new successful approach for treating cervical dysgenesis as well as conserving patients' fertility.
  
  
  METHODS
  We presented a case of a 22-year-old girl with vaginal agenesis and cervical dysgenesis, who after an initial failure at reconstructive surgery was successfully treated by removing a cord-like cervix and a central muscular cylinder of her lower uterine segment and lining the channel with peritoneum as the reconstructed cervix.
  
  
  RESULTS
  The patient has had normal menstruation without dysmenorrhea for one and a half years since the surgery.
  
  
  CONCLUSIONS
  Several steps should be followed in managing patients with congenital cervical atresia: (1) a sufficient imaging evaluation before operation is necessary; (2) a falling-off-proof cervical catheter such as a mushroom catheter (also referred to as pezzers self-retaining catheter), and a proper vaginoplasty are key to a successful cervical canalization; (3) smooth grafted tissues such as peritoneum can be used to line the cervical canal to avoid adhesions.
authors: Gynecology and Obstetrics Department, Peking University Third Hospital, Beijing, China.
authors: Haojie
authors: H
authors: He
authors: Hongyan
authors: H
authors: Guo
authors: Jinsong
authors: J
authors: Han
authors: Yu
authors: Y
authors: Wu
authors: Fuli
authors: F
authors: Zhu
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D008598:Menstruation / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D002577:Uterine Cervical Diseases / Q000473:pathology / Q000601:surgery*; D055815:Young Adult