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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.
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 li ning of the endometrium to that of the vagina permits the creation of a patent cervical canal with short stenting time.