An innovative and effective approach of cervical canal penetration in patients diagnosed with type II vaginal atresia with adequate uterine corpus development: a case series

To develop an innovative and effective approach for cervical canal penetration in patients diagnosed with type II vaginal atresia with adequate uterine corpus development. Four patients underwent vaginal reconstruction surgery with laparoscopic and ultrasound-guided cervical canal penetration. The length and width of the neovagina were measured 0 and 6 months after surgery. Side effects were recorded during follow-up. The average age of the patients was 14.5 ± 3.3 years. After the surgical procedure, all patients had regular menstrual cycles. The average follow-up period was 32.3 ± 8.7 months. Laparoscopic and ultrasound-guided cervical canal penetration after vaginal reconstruction is feasible in patients with type II vaginal atresia and adequate uterine corpus development.