Congenital Atresia of the Uterine Cervix and Vagina: Three Cases

Niver, David H.; Barrette, Gregoire; Jewelewicz, Raphael

doi:10.1016/s0015-0282(16)44472-9

Cited by 70 publications

(36 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In patients with vaginal agenesis and a non-communicating uterus (cervical atresia), hysterectomy is the treatment of choice, having though the disadvantage of the subsequent inability of woman to become pregnant [166][167][168]. A more conservative surgical approach, usually by cervical drilling and creation of a neovagina, has been associated in some cases with deadly peritonitis and/or septic death [168][169][170].…”

Section: Treatment Options For Isolated Vaginal Agenesismentioning

confidence: 99%

“…A more conservative surgical approach, usually by cervical drilling and creation of a neovagina, has been associated in some cases with deadly peritonitis and/or septic death [168][169][170]. Moreover, canalization procedures to restore the uterovaginal continuity are usually (40-60%) associated with secondary stenosis of the cervix [172].…”

Section: Treatment Options For Isolated Vaginal Agenesismentioning

confidence: 99%

See 1 more Smart Citation

Mullerian dysgenesis: a critical review of the literature

Choussein

Nasioudis

Schizas

et al. 2017

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

Section: Treatment Options For Isolated Vaginal Agenesismentioning

confidence: 99%

Section: Treatment Options For Isolated Vaginal Agenesismentioning

confidence: 99%

Mullerian dysgenesis: a critical review of the literature

Choussein

Nasioudis

Schizas

et al. 2017

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

“…Although some cases have been successful, others have been reported (15) , with a restoration of continuity between the functioning of the uterus and vagina in cases of cervical or vaginal atresia that is intimidating. As a result, hysterectomy has been recommended as the most direct treatment option (16) . Our first patient had a hysterectomy.…”

Section: Case Twomentioning

confidence: 99%

“…Vaginal aplasia may also be associated with cervical atresia. Total hysterectomy is recommended by some authors when canalization procedures are unsuccessful or impossible (5,6) , Buttram, 1983 (7) . This latter management is certainly successful in relieving symptoms of cervical atresia, but has an irreversible effect on reproductive performance.…”

Section: Introductionmentioning

confidence: 99%

Vaginal Aplasia with Functional Uterus: Two Cases and Review of Literature

Malide¹,

Mamouni²,

Errharay³

et al. 2017

IAM

View full text Add to dashboard Cite

Maldevelopment of the vagina is usually combined with aplasia or hypoplasia of the uterus. Objective: To support the clinical peculiarities, imaging and surgical technique of this rare entity. Materials and Methods: This is a retrospective study conducted over 04 years. We collected two cases of vaginal aplasia with functional uterus. The diagnosis was based on clinical data, ultrasound, imaging. Results: Our patients had primary amenorrhea plus chronic, cyclic pelvic pain. The examination found partial vaginal aplasia for the first patient and complete vaginal aplasia for the second patient. Magnetic resonance imaging revealed atresia of the cervix with absence of the upper part of the vagina for the first case, an absence of the vagina for the second case. Both patients had vaginoplasty. The evolution was satisfactory for the first patient and the second evolution was marked by cervicovaginal stenosis, the patient had a hysterectomy. Conclusion: Whatever the surgical technique practiced, vaginoplasty allows in this rare malformation to restore the physical integrity and the sexual function, even if other case resulted in cessation to cervico-vaginal stenosis.

show abstract

“…Traditionally, hysterectomy has been the preferred mode of treatment due to the high rate of recurrent cervical obstruction and risk of ascending infection with attempts to perform an uterovaginal anastomosis (1)(2)(3)(4). More recently, other methods have been reported with good success.…”

mentioning

confidence: 99%