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

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.