Pregnancy following surgical correction of nonfused müllerian bulbs and absent vagina.

The authors treated a 15-year-old girl with a nonfused mullerian system and absence of the cervix and vagina. Surgical reconstruction of the uterus and vagina were performed, after which menstruation first appeared. Postoperative fibrotic stenosis obliterated almost the entire vagina except for a fine uterovaginal fistula. Nevertheless, after 2 years of marriage, the patient became pregnant at age 23 and was delivered by cesarean section at term of a living infant. Review of the literature indicates that this is the first report of pregnancy (as well as successful outcome) in this type of anomalous reproductive tract.