Abdominal surgical approach to a case of complete cervical and partial vaginal agenesis
Fertility and Sterility, cilt.84, sa.1, 2005 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 84 Sayı: 1
- Basım Tarihi: 2005
- Doi Numarası: 10.1016/j.fertnstert.2005.01.112
- Dergi Adı: Fertility and Sterility
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Anahtar Kelimeler: Canalization, Cervical agenesis, Hematometra
- Maltepe Üniversitesi Adresli: Evet
Özet
Objective: To construct a uterovaginal canal in a patient with a complete cervical agenesis and partial vaginal agenesis. Design: Case report. Setting: Zeynep Kamil Women's and Children Hospital. Patient(s): 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. Intervention(s): 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. Main Outcome Measure(s): Pelvic ultrasonography and clinical follow-up evaluation. Result(s): Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal. Conclusion(s): 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. ©2005 by American Society for Reproductive Medicine.