Philippe Bugmann, M. D. , Monique Amaudruz, M. D

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Presentation transcript:

Uterocervicoplasty with a bladder mucosa layer for the treatment of complete cervical agenesis Philippe Bugmann, M.D., Monique Amaudruz, M.D., Sylviane Hanquinet, M.D., Giorgio La Scala, M.D., Jacques Birraux, M.D., Claude Le Coultre, M.D. Fertility and Sterility Volume 77, Issue 4, Pages 831-835 (April 2002) DOI: 10.1016/S0015-0282(01)03269-1

FIGURE 1 Initial preoperative middle sagittal SE T2 weighted magnetic resonance imaging showing the enlarged fluid-filled uterus behind the bladder. No uterine cervix or proximal vaginal structures can be identified (arrows). Bugmann. Cervical agenesis: a new cervicoplasty. Fertil Steril 2002. Fertility and Sterility 2002 77, 831-835DOI: (10.1016/S0015-0282(01)03269-1)

FIGURE 2 Operative schemes. (A), Lower sagittal uterine incision under control of an optical device placed through a 5-mm trocar in the dome of the uterus. (B), Opened uterine inferior muscular wall. (C), Cylindrical muscular excision and lining with a tubularized mucosal graft. (D), Lining sutured to the adjacent mucosa. (E), Aspect after closure of the uterus, before closing the upper vagina. Bugmann. Cervical agenesis: a new cervicoplasty. Fertil Steril 2002. Fertility and Sterility 2002 77, 831-835DOI: (10.1016/S0015-0282(01)03269-1)

FIGURE 3 Endoscopic aspect of the cervical channel 5 months after cervicoplasty. (A), Lower portion of the new channel, seen from the vagina. (B), Lower part of the channel. (C), Upper part of the channel. (D), Entrance in the uterine cavity. Bugmann. Cervical agenesis: a new cervicoplasty. Fertil Steril 2002. Fertility and Sterility 2002 77, 831-835DOI: (10.1016/S0015-0282(01)03269-1)