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

• Published in: BJOG : an international journal of obstetrics and gynaecology Vol. 128; no. 12; pp. 1997 - 2002
• Main Authors: Kisu, I, Banno, K, Iida, M, Matsuda, K, Shiraishi, T, Iijima, M, Nakamura, K, Hirao, N
• Format: Journal Article
• Language: English
• Published: London Wiley Subscription Services, Inc 01.11.2021
• Subjects: Anastomosis; Aplasia; Case reports; Cervical aplasia; cervico‐vaginal stenosis; Cervix; Congenital diseases; Gynecological surgery; Menstruation; neocervix; neovagina; Quality of life; Reconstructive surgery; Stenosis; Surgical techniques; trachelectomy; uterovaginal anastomosis; uterus transplantation; Vagina; vaginal agenesis; vaginoplasty
• ISSN: 1470-0328; 1471-0528
• DOI: 10.1111/1471-0528.16770

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.