ABSTRACT
If retrograde hysteroscopy fails to identify a cervical canal, it may be possible to create a neocervix by tunneling between the uterine cavity and neovagina. In this circumstance, the new cervical canal must be stented, bringing the stent into the neovagina, with fixation of the uterus at the tunnel. We have successfully created patent cervices using this technique, although it may require further hysteroscopic surgery to maintain patency. If such correction appears impossible or ineffective, resulting in atresia of a previously created tunnel, a total laparoscopic hysterectomy may be preferable prior to proceeding with laparoscopically assisted colpopoiesis from pelvic peritoneum (30,35,36).
