Abstract
Over the past 20 years we have encountered 13 cases of lower genital tract atresia or obstruction. There were eight cases due to a high transverse vaginal septum. These were dealt with by standard surgical reconstruction. One later recurred and required hysterectomy. Five patients presented with cervical atresia. These were successfully treated by a new abdomino/vaginal approach. All menstruated normally after the procedure and one became pregnant and delivered a normal baby by caesarean section at term. None of the cases had recurrent obstruction and none required hysterectomy.
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