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Rana, A., Gurung, G., Begum, S.H., Adhikari, S. and Neupane, B.B. (2007) Hysterectomy for hematometra in a 15-year-old mentally handicapped girl with congenital cervicovaginal agenesis and concomitant ovarian adenoma. Journal of Obstetrics and Gynecology, 34, 105-107. doi:10.1111/j.1447-0756.2007.00726.x

has been cited by the following article:

• TITLE: Reconstructive surgical management of cryptomenorrhoea because of complete vaginal agenesis

  AUTHORS: Krishna Dahiya, Ranjita Bains

  KEYWORDS: Vaginal Agenesis; Hematometra

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.1 No.4, December 28, 2011

  ABSTRACT: Background: The Vagina is a composite structure formed partly from the mullerian duct and partly from urogential sinus. Most of the patients with mullerian agenesis have small rudimentary uterus without any endometrial cavity, 7% - 8% may have functioning uterus. Case: A 15 years old girl admitted with primary amenorrhea, cyclical abdominal pain, hematometra and complete vaginal agenesis. Surgical correction is the mainstay of treatment in patients with functioning uterus and absent vagina. Vaginoplasty was done to reconstruct a neovagina using amnion graft and establish uterovaginal continuity. In this case we have used only perineal approach to dissect the neovagina and identify the cervix with formation of a patent drainage tract and adequate vaginal length of 9 cm. Conclusion: In rare cases of obstructed functioning uterus by complete vaginal agenesis, vaginoplasty effectively restores anatomy and function by an overall minimal operative morbidity. Human amnion provides excellent results in neovaginal reconstruction.