Successful Term Pregnancy in a Patient with Vaginal Agenesis, Cervical Atresia and Functional Uterus using a New Method: A Case Report

Vaginal agenesis with functional uterus and cervical atresia is a rare condition with potential threat to the fertility. These patients have amenorrhea and progressive cyclic abdominal pain. Treatment modalities are controversial because of failure in preserving the uterus. We present a successful term pregnancy using a new method in a patient with vaginal agenesis, cervical atresia, and functional uterus. The patient was a 14-year-old girl with amenorrhea, cyclic abdominal pain, normal secondary sexual development, absent vagina, a large cystic mass on rectal examination, and hematocolpos in ultrasound. She underwent laparoscopy, vaginoplasty, laparotomy, and uterocervical neovaginal cannulation using the Pezzer catheter. 2 years after marriage, she became pregnant and delivered a healthy baby by Cesarean section. Successful pregnancy was achieved in a women with vaginal agenesis after uterocervical cannulation.