Abstract
Study Objective: To restore anatomic and functional normality of the perineum and genital system in a pubertal girl aged 12 with pelvic pain and thelarche, vaginal agenesis, cervical hematometra, and vestibular anus.Design: To diagnose the malformation correctly by clinical examination and ultrasonography in order to select the most appropriate surgical treatment.Intervention: Proctoneovaginohysterostomy and sigmoid colon pull-through.Result: The patient is now well with regular, afebrile, painless menstrual cycles. The new vagina is soft and the anal sphincter is continent.Conclusions: Proctoneovaginohysterostomy with sigmoid colon pull-through proved to be an excellent surgical technique for correcting vaginal agenesis, hematocer-vicometra, and vestibular anus.
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