Successful surgical treatment for congenital vaginal agenesis accompanied by functional uterus: A report of two cases

Chihiro Minami, Ryosuke Tsunematsu, Kana Hiasa, Katsuko Egashira, Kiyoko Kato

Research output: Contribution to journalArticle

Abstract

We present two cases of congenital vaginal agenesis with functional uterine corpus, manifesting with periodic lower abdominal pain and hematometra in adolescence. Both patients were successfully treated with the creation of neovagina and neocanal structures to discharge menstrual blood; this may also facilitate the preservation of fertility. Both cases were characterized by degrees of congenital vaginal agenesis, whether short or completely absent, with no communication between the uterine cavity and external genitalia, as confirmed by physical examination and imaging. We surgically reconstructed a neovagina with the modified McIndoe's procedure, using an artificial skin graft, and canalized to the caudal portion of the uterine cavity. Although redilatation of the neocanal was required, no patient suffered severe infection in postoperative course and both now exhibit regular menstruation. Although hysterectomy has classically been the preferred treatment for such cases, recent technical progression enables treatment of such diseases with conservative and minimally invasive surgery, in a safe manner.

Original languageEnglish
Pages (from-to)76-79
Number of pages4
JournalGynecology and Minimally Invasive Therapy
Volume8
Issue number2
DOIs
Publication statusPublished - Apr 1 2019

Fingerprint

Uterus
Hematometra
Artificial Skin
Fertility Preservation
Genitalia
Menstruation
Minimally Invasive Surgical Procedures
Hysterectomy
Abdominal Pain
Physical Examination
Communication
Transplants
Therapeutics
Infection
Absence of vagina

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

Successful surgical treatment for congenital vaginal agenesis accompanied by functional uterus : A report of two cases. / Minami, Chihiro; Tsunematsu, Ryosuke; Hiasa, Kana; Egashira, Katsuko; Kato, Kiyoko.

In: Gynecology and Minimally Invasive Therapy, Vol. 8, No. 2, 01.04.2019, p. 76-79.

Research output: Contribution to journalArticle

@article{564bf671ed484b399a135adec330052d,
title = "Successful surgical treatment for congenital vaginal agenesis accompanied by functional uterus: A report of two cases",
abstract = "We present two cases of congenital vaginal agenesis with functional uterine corpus, manifesting with periodic lower abdominal pain and hematometra in adolescence. Both patients were successfully treated with the creation of neovagina and neocanal structures to discharge menstrual blood; this may also facilitate the preservation of fertility. Both cases were characterized by degrees of congenital vaginal agenesis, whether short or completely absent, with no communication between the uterine cavity and external genitalia, as confirmed by physical examination and imaging. We surgically reconstructed a neovagina with the modified McIndoe's procedure, using an artificial skin graft, and canalized to the caudal portion of the uterine cavity. Although redilatation of the neocanal was required, no patient suffered severe infection in postoperative course and both now exhibit regular menstruation. Although hysterectomy has classically been the preferred treatment for such cases, recent technical progression enables treatment of such diseases with conservative and minimally invasive surgery, in a safe manner.",
author = "Chihiro Minami and Ryosuke Tsunematsu and Kana Hiasa and Katsuko Egashira and Kiyoko Kato",
year = "2019",
month = "4",
day = "1",
doi = "10.4103/GMIT.GMIT_124_18",
language = "English",
volume = "8",
pages = "76--79",
journal = "Gynecology and Minimally Invasive Therapy",
issn = "2213-3070",
publisher = "Elsevier Taiwan LLC",
number = "2",

}

TY - JOUR

T1 - Successful surgical treatment for congenital vaginal agenesis accompanied by functional uterus

T2 - A report of two cases

AU - Minami, Chihiro

AU - Tsunematsu, Ryosuke

AU - Hiasa, Kana

AU - Egashira, Katsuko

AU - Kato, Kiyoko

PY - 2019/4/1

Y1 - 2019/4/1

N2 - We present two cases of congenital vaginal agenesis with functional uterine corpus, manifesting with periodic lower abdominal pain and hematometra in adolescence. Both patients were successfully treated with the creation of neovagina and neocanal structures to discharge menstrual blood; this may also facilitate the preservation of fertility. Both cases were characterized by degrees of congenital vaginal agenesis, whether short or completely absent, with no communication between the uterine cavity and external genitalia, as confirmed by physical examination and imaging. We surgically reconstructed a neovagina with the modified McIndoe's procedure, using an artificial skin graft, and canalized to the caudal portion of the uterine cavity. Although redilatation of the neocanal was required, no patient suffered severe infection in postoperative course and both now exhibit regular menstruation. Although hysterectomy has classically been the preferred treatment for such cases, recent technical progression enables treatment of such diseases with conservative and minimally invasive surgery, in a safe manner.

AB - We present two cases of congenital vaginal agenesis with functional uterine corpus, manifesting with periodic lower abdominal pain and hematometra in adolescence. Both patients were successfully treated with the creation of neovagina and neocanal structures to discharge menstrual blood; this may also facilitate the preservation of fertility. Both cases were characterized by degrees of congenital vaginal agenesis, whether short or completely absent, with no communication between the uterine cavity and external genitalia, as confirmed by physical examination and imaging. We surgically reconstructed a neovagina with the modified McIndoe's procedure, using an artificial skin graft, and canalized to the caudal portion of the uterine cavity. Although redilatation of the neocanal was required, no patient suffered severe infection in postoperative course and both now exhibit regular menstruation. Although hysterectomy has classically been the preferred treatment for such cases, recent technical progression enables treatment of such diseases with conservative and minimally invasive surgery, in a safe manner.

UR - http://www.scopus.com/inward/record.url?scp=85065290436&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065290436&partnerID=8YFLogxK

U2 - 10.4103/GMIT.GMIT_124_18

DO - 10.4103/GMIT.GMIT_124_18

M3 - Article

AN - SCOPUS:85065290436

VL - 8

SP - 76

EP - 79

JO - Gynecology and Minimally Invasive Therapy

JF - Gynecology and Minimally Invasive Therapy

SN - 2213-3070

IS - 2

ER -