Successful trachelectomy and re‐vaginoplasty for cervico‐vaginal stenosis following unsuccessful uterovaginal anastomosis and vaginoplasty in congenital cervical and vaginal aplasia: description of technique and a case report. (14th June 2021)

• Record Type: Journal Article
• Authors: Kisu, I; Banno, K; Iida, M; Matsuda, K; Shiraishi, T; Iijima, M; Nakamura, K; Hirao, N
• Is Part Of: BJOG. Volume 128:Number 12(2021)
• Page Start: 1997
• Page End: 2002
• Publication Date: 2021-06-14
• Subjects: Cervical aplasia -- cervico‐vaginal stenosis -- neocervix -- neovagina -- trachelectomy -- uterovaginal anastomosis -- uterus transplantation -- vaginal agenesis -- vaginoplasty; Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1111/1471-0528.16770
• Languages: English
• ISSNs: 1470-0328

Abstract

Abstract : We describe a successful surgical technique of abdominal trachelectomy and re‐vaginoplasty for cervico‐vaginal stenosis following unsuccessful uterovaginal anastomosis and vaginoplasty in a patient with congenital cervical and vaginal aplasia. After the surgical procedure, cervico‐vaginal stenosis was resolved and periodic menstruation without dysmenorrhoea resumed. While long‐term follow‐up is essential to ensure successful pregnancy and delivery, we conclude that this novel surgical procedure is a promising alternative for improvement of the quality of life and normal sexual function, and for preservation of fertility in patients with cervical and vaginal aplasia.