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A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix.

Abstract：

OBJECTIVE:To report a novel technique for cervical reconstruction in a patient with congenital agenesis of the cervix. DESIGN:Case report. SETTING:University-based tertiary care hospital. PATIENT(S):A woman with congenital absence of the cervix, functional vagina, and adenomyosis uteri. INTERVENTION(S):Laparoscopic-assisted creation of an uterovaginal fistula followed by placement of a polytetrafluoroethylene graft lined with vaginal mucosa graft to create the neocervix. MAIN OUTCOME MEASURE(S):Follow-up examinations with the hysteroscope confirmed unobstructed menstrual outflow through the patent neocervix. RESULT(S):The neocervix was completely mucosalized on the inner surface by 12 days postoperatively. The patient had return of menstrual bleeding at 4 weeks postoperatively. She has resumed normal sexual activities and had maintained regular menstrual cycles at the 6-month clinical follow-up. There were no complications related to the graft. CONCLUSION(S):Prosthetic reconstruction of the cervix using vaginal mucosa-lined polytetrafluoroethylene is easy to perform and effective. It offers an alternative treatment option for patients with cervical agenesis to preserve their reproductive potential.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Nguyen DH,Lee CL,Wu KY,Cheng MH

doi

10.1016/j.fertnstert.2011.02.007

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

2433.e5-8

issue

7

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(11)00259-7

journal_volume

95

pub_type

杂志文章

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