A new approach in the management of lower Mullerian atresia

Over the past 20 years we have encountered 13 cases of lower genital tract atresia or obstruction. There were eight cases due to a high transverse vaginal septum. These were dealt with by standard surgical reconstruction. One later recurred and required hysterectomy. Five patients presented with cervical atresia. These were successfully treated by a new abdomino/vaginal approach. All menstruated normally after the procedure and one became pregnant and delivered a normal baby by caesarean section at term. None of the cases had recurrent obstruction and none required hysterectomy.