Objectives: To test the efficacy, safety and tolerability of a simplified surgical alternative for the formation
of a new cervix in patients with isolated cervical aplasia.
Study design: A case series of six patients with complete cervical atresia (four primary and two
secondary) were included. A silicone Foley catheter sutured to the distal end of a sharp curved long
inserter was inserted laparoscopically, and left in utero inflated and subject to downward traction for
one menstrual cycle. Clinical and sonographic follow-up were done. The main outcome measures were
operative time, complication rate, tolerability of traction, reintervention rate, width and length of the
newly formed cervix and postoperative menstrual pattern.
Results: The results were satisfactory (normal length and width of new cervix by high-resolution 2D
ultrasonography), without complications, with acceptable tolerability and normal menstrual pattern.
Conclusions: Both clinical and sonographic follow-up confirmed that balloon cervicoplasty is a simple,
fast, tolerable, safe and available laparoscopically guided procedure. It can be easily performed by any
gynecologist with basic laparoscopic expertise.