Abstract

A 13-year-old girl was admitted to a hospital due to cyclic pelvic pain of 3 months duration. The diagnosis was vaginal agenesis--a Mullerian abnormality causing obstruction of blood discharge due to cervical or vaginal atresia. This abnormality usually goes unperceived until puberty when cyclic pelvic pain due to the accumulation of menstrual blood is felt. In the past total hysterectomy represented the treatment of choice. However the authors of this brief communication believe that preservation of the uterus and thus reproductive capacity should always be attempted via neovaginoplasty in patients with vaginal agenesis.

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