Fertility and sterility · 2011
A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix.
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Nguyen Dung H, Lee Chyi-Long, Wu Kai-Yun, Cheng Ming-Huei
Аннотация
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.
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.
Предметные рубрики MeSH
Blood Vessel ProsthesisCervix UteriEndometriosisFemaleGenital Diseases, FemaleGynecologic Surgical ProceduresHumansHysteroscopyLaparoscopyMenstrual CycleMucous MembranePolytetrafluoroethyleneProsthesis DesignProsthesis ImplantationSexual BehaviorSurgically-Created StructuresTreatment OutcomeUterine DiseasesVaginaYoung Adult