{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:11:39Z","timestamp":1784121099547,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T00:00:00Z","timestamp":1658620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study investigated the long\u2010term outcomes of laparascopic sigmoid cervicovaginoplasty in patients with congenital cervicovaginal atresia with a functioning uterus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this case series study, seven patients with cervicovaginal atresia with a functioning uterus underwent laparoscopic sigmoid cervicovaginoplasty surgery between 2016 and 2020. Mean follow\u2010up duration was 25.9\u00a0months (2\u201348\u2009months). All of the patients had regular menstrual cycles. The average length of the vagina was 8.9\u00a0cm (7.6\u201310.5\u00a0cm). In one patient, proximal stenosis of neovagina was observed 12\u2009months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age and body mass index of the patients were 18\u2009years (12\u201327\u2009years) and 19.7 (17.6\u201322.4), respectively. The average time period between the initiation of disease symptoms and the operation was 52.28\u2009months (2\u2013156\u2009months). There were no postoperative short\u2010term complications. We did not perform hysterectomy in our patients. None of our patients complained of signs of low anterior resection syndrome. Two patients had sexual activities without dyspareunia, postcoital bleeding, or malodorous vaginal discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sigmoid cervicovaginoplasty is a safe and effective procedure with satisfactory long\u2010term outcomes. This surgery eliminates the psychological burden of hysterectomy in these patients. Through preserving the uterus, patients may have a chance of possible future pregnancy if abdominal cerclage is performed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14342","type":"journal-article","created":{"date-parts":[[2022,7,10]],"date-time":"2022-07-10T15:53:51Z","timestamp":1657468431000},"page":"271-279","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Successful laparoscopic sigmoid transposition for cervicovaginal agenesis in the presence of a functioning uterus: A case series"],"prefix":"10.1002","volume":"160","author":[{"given":"Saeed","family":"Alborzi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Laparoscopy Research Center Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elnaz Hosseini","family":"Najarkolaee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5127-4392","authenticated-orcid":false,"given":"Elham","family":"Askary","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Infertility Research Center, Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soroush","family":"Alborzi","sequence":"additional","affiliation":[{"name":"Student Research Center, School of Medicine Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kefayat","family":"Chamanara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziba","family":"Zahiri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, Alzahra Hospital, School of Medicine, Reproductive Health Research Center, Mehr Fertility Research Center, Guilan University of Medical Sciences  Rasht Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahereh","family":"Poordast","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70085-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deh213"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e3283478839"},{"key":"e_1_2_9_5_1","first-page":"31184","article-title":"Laparoscopically assisted uterovaginal canalization and vaginoplasty for patients with congenital cervical and vaginal atresia: a step\u2010by\u2010step guide and long\u2010term outcomes","volume":"1553","author":"Kang J","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-13-3016-2_1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2020.02.006"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2013.0158"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH10105"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)32698-8"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2011.10.018"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.08.073"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900228"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2018.1482220"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.12.016"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det098"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.10.024"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002549"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2728-3"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1991-9"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2011.613649"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.18203\/2349-2902.isj20200843"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12538"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-009-2391-1"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-014-3550-6"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1799-7"}],"container-title":["International Journal of Gynecology &amp; 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