Objective: We report a relatively rare case of laparoscopic hysterectomy (LH) performed in a young girl for urogenital sinus anomaly.
Patient: We scheduled hysterectomy for a 13-year-old girl who had a history of recurrent colpitis and cystitis with pyometra and pyocolpos caused by vaginal obstruction. At the age of 2 years, she had undergone a radical operation of urogenital sinus anomaly. At the age of 12 years and 10 months, she had undergone re-vaginoplasty. Even after the surgery, she had recurrent episodes of colpitis and cystitis with pyometra and pyocolpos caused by menstruation and vaginal re-obstruction. Since we preferred to reduce the risks of repeated infections and interventions rather than conserve the uterus, we performed hysterectomy. We decided to perform laparoscopic hysterectomy.
Conclusion: This case has shown that LH is more suitable than one-sided approaches such as total abdominal hysterectomy and total vaginal hysterectomy for patients who have obstructions in their urogenital tracts.
