Human Reproduction, Vol. 16, No. 8, 1722-1725,
August 2001
© 2001 European Society of Human Reproduction and Embryology
Utero-vaginal anastomosis in women with uterine cervix atresia: long-term follow-up and reproductive performance. A study of 18 cases
Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Créteil, 40, Avenue de Verdun, 94010 Créteil Cedex, France
BACKGROUND: Atresia of the uterine cervix is an uncommon Müllerian anomaly. Total hysterectomy remains the classical treatment of this malformation. The purpose of this study was to evaluate functional results and reproductive performance of women who had conservative surgical procedure. METHODS AND RESULTS: The medical records of 18 patients admitted to our centre between 1969 and 1998 for the treatment of uterine cervix atresia, were reviewed. Seven women had an associated high vaginal aplasia. Fifteen women had a history of abdominal or pelvic surgery before referral, with an unsuccessful attempt at canalization in five cases. Associated pelvic endometriosis or adhesions were observed in 12 cases. The utero-vaginal anastomosis procedure was performed successfully in all cases. A secondary stenosis of the anastomosis occurred in one case and this required canalization. Median follow-up after surgery was 4.5 years. Sexual intercourse was satisfactory for the 12 patients who began sexual activity. Ten patients had a pregnancy, four of which resulted in a total of six successful spontaneous pregnancies. Of the six remaining women, five had an evident cause of infertility. CONCLUSIONS: Utero-vaginal anastomosis should be proposed in women with congenital atresia of the uterine cervix, even when it is associated with vaginal aplasia. Early diagnosis and surgery appear necessary to avoid the development of pelvic associated lesions.
Key words: fertility/pregnancy outcome/uterine cervix atresia/uterine malformation/vagina malformation
1 To whom correspondence should be addressed. E-mail: bhaddad{at}chicreteil.fr
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  S. H. Saravelos, K. A. Cocksedge, and T.-C. Li Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal Hum. Reprod. Update, September 1, 2008; 14(5): 415 - 429. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Acien, M.I. Acien, F. Quereda, and T. Santoyo Cervicovaginal agenesis: spontaneous gestation at term after previous reimplantation of the uterine corpus in a neovagina: Case Report Hum. Reprod., March 1, 2008; 23(3): 548 - 553. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Fedele, S. Bianchi, N. Berlanda, A. Bulfoni, and E. Fontana Laparoscopic creation of a neovagina and recovery of menstrual function in a patient with Rokitansky syndrome: A Case Report Hum. Reprod., December 1, 2006; 21(12): 3287 - 3289. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C.A. Wranning, J. Molne, R.R. El-Akouri, G. Kurlberg, and M. Brannstrom Short-term ischaemic storage of human uterine myometrium--basic studies towards uterine transplantation Hum. Reprod., October 1, 2005; 20(10): 2736 - 2744. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Acien, M. Acien, and M. Sanchez-Ferrer Complex malformations of the female genital tract. New types and revision of classification Hum. Reprod., October 1, 2004; 19(10): 2377 - 2384. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. F. Grimbizis, T. Tsalikis, T. Mikos, N. Papadopoulos, B. C. Tarlatzis, and J. N. Bontis Successful end-to-end cervico-cervical anastomosis in a patient with congenital cervical fragmentation: Case report Hum. Reprod., May 1, 2004; 19(5): 1204 - 1210. [Abstract] [Full Text] [PDF]
|
|