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Published on: September 12, 2025
Hysteroscopic management of congenital external cervical os stenosis using a "no-touch" technique in an adolescent
Xiaogang Zhu1, Dabao Xu1, Gloria Allornuvor2
1Department of Gynecology, Third Xiangya Hospital, Central South University, 138 Tongzipo Rd, Changsha City, Hunan Province, China.
Background:
Congenital external cervical os stenosis, one type of congenital cervical atresia, is particularly rare, and no case has been documented so far.
Case:
A 12-year-old virginal patient with a history of mild vaginal bleeding for 14 days and lower abdominal pain for 10 days during her menarche was diagnosed with congenital external cervical os stenosis. Using a "no touch" technique, the diagnosis was further confirmed through a diagnostic hysteroscopy, and the narrow external cervical os was successfully corrected by resectoscopy, leaving the hymen intact. The patient was free of any symptoms postoperatively.
Results And Conclusion:
We discuss the above-mentioned case and data already published in the literature. Congenital external cervical os stenosis in non-sexually active patients can be managed by diagnostic and operative hysteroscopy using a "no touch" technique while keeping the hymen intact.
