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- Title
An atresia cervix removal, lower uterine segment substitute for cervix and uterovaginal anastomosis: a case report and literature review.
- Authors
He, Haojie; Guo, Hongyan; Han, Jinsong; Wu, Yu; Zhu, Fuli
- Abstract
Purpose: 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. Materials and 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.
- Subjects
CERVIX uteri diseases; HUMAN abnormalities; CONGENITAL disorders; THERAPEUTICS
- Publication
Archives of Gynecology & Obstetrics, 2015, Vol 291, Issue 1, p93
- ISSN
0932-0067
- Publication type
Case Study
- DOI
10.1007/s00404-014-3361-y