PROCTONEOVAGINOHYSTEROSTOMY AND SIGMOID COLON PULL-THROUGH FOR VAGINAL AGENESIS, HEMATOCERVICOMETRA, AND VESTIBULAR ANUS

Study Objective: To restore anatomic and functional normality of the p erineum 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 exam ination and ultrasonography in order to select the most appropriate su rgical treatment. Intervention: Proctoneovaginohysterostomy and sigmoi d colon pull-through. Result: The patient is now well with regular, af ebrile, 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 techniq ue for correcting vaginal agenesis, hematocervicometra, and vestibular anus.