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

作者：Nguyen Dung H; Lee Chyi Long; Wu Kai Yun; Cheng Ming Huei^*

来源：Fertility and Sterility, 2011, 95(7): 2433.e5.

DOI：10.1016/j.fertnstert.2011.02.007

• Agenesis
• cervix
• mucosa
• polytetrafluoroethylene
• vagina

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. (Fertil Steril (R) 2011; 95: 2433. e5-e8.

• 出版日期2011-6
• 单位长春大学