Hysteroscopic management of congenital external cervical os stenosis using a "no-touch" technique in an adolescent.

BACKGROUND

Congenital external cervical os stenosis, one type of congenital cervical atresia, is particularly rare, and no case has been documented so far.

CASE: A 12-year-old virginal patient with a history of mild vaginal bleeding for 14 days and lower abdominal pain for 10 days during her menarche was diagnosed with congenital external cervical os stenosis. Using a "no touch" technique, the diagnosis was further confirmed through a diagnostic hysteroscopy, and the narrow external cervical os was successfully corrected by resectoscopy, leaving the hymen intact. The patient was free of any symptoms postoperatively.

RESULTS AND

CONCLUSION

We discuss the above-mentioned case and data already published in the literature. Congenital external cervical os stenosis in non-sexually active patients can be managed by diagnostic and operative hysteroscopy using a "no touch" technique while keeping the hymen intact.