title: Cervicovaginal anastomosis by Gore-Tex in Mullerian agenesis.
abstract: OBJECTIVE
  To determine usage of polytetrafluoroethylene, Gore-Tex, as a stent in patients with congenital cervicovaginal agenesis.
  
  
  METHODS
  Follow-up study.
  
  
  METHODS
  Tertiary center referral hospital.
  
  
  METHODS
  Eight patients with Mullerian agenesis who had congenital cervical agenesis, associated with partial or complete vaginal aplasia.
  
  
  METHODS
  Laparoscopic uterovaginal anastomosis with placement of a polytetrafluoroethylene stent for reconstruction of cervical agenesis. In cases associated with vaginal agenesis, modified McIndoe vaginoplasty was done concomitantly.
  
  
  RESULTS
  Eight patients with cervical agenesis who had partial and complete vaginal aplasia underwent vaginoplasty. Mean (SD) follow-up after surgery (3 years old). All patients except three of them, (62.5 %) experienced relief of abdominal pain and regular menstruation. Due to ascending infection three of them (37.5 %) needed reoperation. So, they underwent laparotomy. Two of these three patients had total abdominal hysterectomy and one case tolerated resection of right obstructed side of didelphys uterus, then she became pregnant spontaneously. Four out of these eight cases were married and the others were single. One out of our married patients conceived three times. Her first pregnancy was aborted. She delivered two alive babies after inserting transabdominal Shirodkar suture in her other pregnancies.
  
  
  CONCLUSIONS
  Uterovaginal anastomosis assisted laparoscopy with polytetrafluoroethylene (Gore-Tex) is effective and hopeful to relieve patients' symptoms, menstruation regularity, and saving fertility. If ascending infection threatening health happens, hysterectomy will be recommended.
authors.affiliation: Tehran Medical University, Tehran, Iran, rezaizah@tums.ac.ir.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Rezaei
authors.forename: Azizeh
authors.initials: A
authors.lastname: Omidvar
authors.forename: Shirin
authors.initials: S
authors.lastname: Niroumanesh
authors.forename: Azadeh
authors.initials: A
authors.lastname: Omidvar
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery; D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D002584:Cervix Uteri / Q000002:abnormalities / Q000601:surgery*; D002648:Child; D000013:Congenital Abnormalities / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D008598:Menstruation / Q000502:physiology; D009095:Mullerian Ducts / Q000002:abnormalities / Q000601:surgery; D011138:Polytetrafluoroethylene; D011247:Pregnancy; D019651:Plastic Surgery Procedures / Q000379:methods*; D015607:Stents; D014564:Urogenital Abnormalities / Q000601:surgery; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*; D055815:Young Adult
chemical_list: D011138:Polytetrafluoroethylene