PICTORIAL ESSAY
Laparoscopic Uterovaginal Anastomosis for Cervical Agenesis
Nitin Shah1 • Ameya Padmawar2 • Pradnya Changede3
Dr. Nitin Shah, M.S. (OBS & GYNAEC), D.N.B., F.C.P.S.,
D.G.O., D.F.P., F.I.C.O.G., is a Director, Vardann Multispeciality
Hospital, Poisar, Kandivali West, Mumbai, India; Dr. Ameya
Padmawar, M.D. (Obs & Gyn), is a Consultant Gynecologist,
Kanyaka Women's Clinic, SVP Road, Borivali West, Mumbai
400013, India; Dr. Pradnya Changede, M.S. (OBS & GYNAEC),
F.C.P.S., C.P.S.-D.G.O., is an Assistant Professor, Department of
Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical
College and General Hospital, Mumbai, India.
Pradnya Changede
pradnyachangede@gmail.com
1 Vardann Multispeciality Hospital, Poisar, Kandivali West, Mumbai, India
2 Kanyaka Womens Clinic, SVP Road, Borivali West, Mumbai 400013, India
3 Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
About the Author
Dr. Nitin Shah has done his undergraduation
and post-graduation
from Seth G.S.M.C. and K.E.M.
Hospital. At present, he is working
as consultant gynaec-laparoscopic
surgeon. He is the director
of Vardann multispeciality
hospital, Poisar, Kandivali West,
Mumbai. He is scientific secretary
of A.F.G. and managing
committee member of I.A.G.E.
He is the holder of ten world
records for his laparoscopic surgeries.
He is recipient of golden
hand award. He has published
highest number of cover page
photos in laparoscopy in J.O.G.I. He has more than 50 both national
and international publications to his credit. He has won various awards
and prizes at many national and international conferences.
A 22-year-old married female presented with primary amenorrhea
associated with cyclical pain in abdomen and history
of vaginoplasty done few years back. Speculum examination
revealed absent cervix. MRI and laparoscopic findings are
shown in Figs. 1 and 2. On laparoscopy, hematometra and
right-sided hematosalpinx were drained (Fig. 3). Uterovaginal
anastomosis was completed in steps as shown in Figs. 4a,
b, 5 and 6a, b. Hysteroscopy after 1 month showed normal
patent uterine cavity and bilateral ostia (Fig. 7). Patient had
regular menses postoperatively and is asymptomatic till
date (18 months). Patient conceived 1 year after surgery
but underwent medical termination of pregnancy. Very few
cases of successful laparoscopic uterovaginal anastomosis
have been reported; hence, we recommend that with good
surgical skills laparoscopic approach to uterovaginal anastomosis
gives good results.
Author Contributions Dr. Nitin Shah has operated this case, searched
the literature and done final proofreading of this article. Dr. Ameya
Padmawar has operated this case and helped in editing the article. Dr.
Pradnya Changede who has done fellowship in laparoscopy under Dr.
Nitin Shah has assisted this case, written this article, done the literature
search and helped in proofreading this article.
Publisher's Note Springer Nature remains neutral with regard to
jurisdictional claims in published maps and institutional affiliations.
Compliance with Ethical Standards
Conflict of interest We declare that we have no conflict of interest or financial interests for the article.
Informed Consent We, authors, hereby declare that we have taken the informed consent from the patient.
