Doctors in Kochi gave a new life to a teenager who was suffering from cervico-vaginal aplasia - a rare congenital anomaly in which the vagina and cervix are absent from birth.
The 15-year old girl came to Paul’s hospital with a complaint that she has not started menstruating but has severe abdominal pain on a monthly basis. She said that the pain was excruciating that it affected her day-to-day activities. She had taken treatment at various hospitals without any relief.
On examination, doctors found that the cervix and vagina were absent. Her menstrual bleeding was getting collected inside partially developed uterus which was causing pain.
The doctors made an inverted T-incision in the area where the vagina should have been present and a new vagina was created by blunt digital dissection. Further, this opening was enlarged and sutured to the vestibular epithelium. After that, the lower part of the uterus was attached and sutured on the newly created vagina. A vaginal mould was kept inside a new vagina which was removed after four days.
The menses were resumed after three weeks of surgery. She now has a normal uterine size with regular cyclical menses.
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