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

I. Kisu; K. Banno; M. Iida; K. Matsuda; T. Shiraishi; M. Iijima; K. Nakamura; N. Hirao

doi:10.1111/1471-0528.16770

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

I. Kisu
, K. Banno
, M. Iida
, K. Matsuda
, T. Shiraishi
, M. Iijima
, K. Nakamura
, N. Hirao

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	1997-2002
Number of pages	6
Journal	BJOG: An International Journal of Obstetrics and Gynaecology
Volume	128
Issue number	12
DOIs	https://doi.org/10.1111/1471-0528.16770
Publication status	Published - 11-2021
Externally published	Yes

All Science Journal Classification (ASJC) codes

Obstetrics and Gynaecology

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10.1111/1471-0528.16770

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Kisu, I., Banno, K., Iida, M., Matsuda, K., Shiraishi, T., Iijima, M., Nakamura, K., & Hirao, N. (2021). 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. BJOG: An International Journal of Obstetrics and Gynaecology, 128(12), 1997-2002. https://doi.org/10.1111/1471-0528.16770

Kisu, I. ; Banno, K. ; Iida, M. et al. / 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. In: BJOG: An International Journal of Obstetrics and Gynaecology. 2021 ; Vol. 128, No. 12. pp. 1997-2002.

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title = "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",

abstract = "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.",

keywords = "Cervical aplasia, cervico-vaginal stenosis, neocervix, neovagina, trachelectomy, uterovaginal anastomosis, uterus transplantation, vaginal agenesis, vaginoplasty",

author = "I. Kisu and K. Banno and M. Iida and K. Matsuda and T. Shiraishi and M. Iijima and K. Nakamura and N. Hirao",

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Kisu, I, Banno, K, Iida, M, Matsuda, K, Shiraishi, T, Iijima, M, Nakamura, K & Hirao, N 2021, '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', BJOG: An International Journal of Obstetrics and Gynaecology, vol. 128, no. 12, pp. 1997-2002. https://doi.org/10.1111/1471-0528.16770

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. / Kisu, I.; Banno, K.; Iida, M. et al.
In: BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 128, No. 12, 11.2021, p. 1997-2002.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Successful trachelectomy and re-vaginoplasty for cervico-vaginal stenosis following unsuccessful uterovaginal anastomosis and vaginoplasty in congenital cervical and vaginal aplasia

T2 - description of technique and a case report

AU - Kisu, I.

AU - Banno, K.

AU - Iida, M.

AU - Matsuda, K.

AU - Shiraishi, T.

AU - Iijima, M.

AU - Nakamura, K.

AU - Hirao, N.

PY - 2021/11

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N2 - 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.

AB - 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.

KW - Cervical aplasia

KW - cervico-vaginal stenosis

KW - neocervix

KW - neovagina

KW - trachelectomy

KW - uterovaginal anastomosis

KW - uterus transplantation

KW - vaginal agenesis

KW - vaginoplasty

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Kisu I, Banno K, Iida M, Matsuda K, Shiraishi T, Iijima M et al. 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. BJOG: An International Journal of Obstetrics and Gynaecology. 2021 Nov;128(12):1997-2002. doi: 10.1111/1471-0528.16770

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

Abstract

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