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

I. Kisu, K. Banno, M. Iida, K. Matsuda, T. Shiraishi, M. Iijima, K. Nakamura, N. Hirao

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)1997-2002
Number of pages6
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume128
Issue number12
DOIs
Publication statusAccepted/In press - 2021

Keywords

  • Cervical aplasia
  • cervico-vaginal stenosis
  • neocervix
  • neovagina
  • trachelectomy
  • uterovaginal anastomosis
  • uterus transplantation
  • vaginal agenesis
  • vaginoplasty

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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