Uterine Preservation and Vaginal Reconstruction in a Patient with Congenital Vaginal Agenesis Presenting with Cyclic Menouria

Abstract

Study ObjectiveTo report a case with primary amenorrhea and cyclic menouria.DesignCase report.SettingTertiary academic care center.PatientsInterventionView Large Image Figure ViewerDownload Hi-res image Download (PPT)Measurements and Main ResultsThe fistula tract was completely resected. Vaginal reconstruction with sigmoid colon pedicled flap was performed. The proximal part of the neovagina was connected with the remnant cervix and a folley catheter was left in the uterine cavity for seven days in order to prevent obstruction. The patient has been menstruating regularly since the operation for the last eight months.ConclusionMenouria might be an early sign of congenital vesicouterine fistula. Uterine preservation might be considered in partial vaginal agenesis patients. Study ObjectiveTo report a case with primary amenorrhea and cyclic menouria. To report a case with primary amenorrhea and cyclic menouria. DesignCase report. Case report. SettingTertiary academic care center. Tertiary academic care center. Patients Intervention Measurements and Main ResultsThe fistula tract was completely resected. Vaginal reconstruction with sigmoid colon pedicled flap was performed. The proximal part of the neovagina was connected with the remnant cervix and a folley catheter was left in the uterine cavity for seven days in order to prevent obstruction. The patient has been menstruating regularly since the operation for the last eight months. The fistula tract was completely resected. Vaginal reconstruction with sigmoid colon pedicled flap was performed. The proximal part of the neovagina was connected with the remnant cervix and a folley catheter was left in the uterine cavity for seven days in order to prevent obstruction. The patient has been menstruating regularly since the operation for the last eight months. ConclusionMenouria might be an early sign of congenital vesicouterine fistula. Uterine preservation might be considered in partial vaginal agenesis patients. Menouria might be an early sign of congenital vesicouterine fistula. Uterine preservation might be considered in partial vaginal agenesis patients.