Vaginal Surgery for Congenital Anomalies

@article{Quint2010VaginalSF,
  title={Vaginal Surgery for Congenital Anomalies},
  author={Elisabeth H. Quint and Jenifer D. McCarthy and Yolanda R. Smith},
  journal={Clinical Obstetrics and Gynecology},
  year={2010},
  volume={53},
  pages={115-124}
}
Congenital anomalies of the vagina may be isolated to the vagina or be part of a more complex Mullerian tract anomaly with possible fertility concerns. Patient age, complete assessment of the anomaly before surgery, and the psychologic implications for the patient are important components of the initial evaluation and treatment planning. Imaging, including magnetic resonance imaging, should be used to assess the extent of the anomaly and possibly other organ systems involved. Surgeries for… 

Management of Reproductive Tract Anomalies

TLDR
Surgical management depend on the type of anomaly, its complexity and the proper embryological interpretation of the anomaly and involves multiple specialties; thus, patients should be referred to centres with experience in the treatment of complex genital malformations.

Treatment of congenital malformations.

TLDR
The prevalence of müllerian malformations is 1 in 200, or 0.5%, and even if it is not proven to be a cause for infertility, the chance of miscarriage can be diminished by performing hysteroscopic metroplasty.

Transverse Vaginal Septum

TLDR
Surgical management is highly dependent on the thickness and location of the septum and includes vaginal and abdominoperineal procedures, and the patients’ age, developmental level, and ability to perform postoperative dilation should be considered when exploring surgical options.

Non-obstructive müllerian anomalies.

Obstructive Reproductive Tract Anomalies: A Review of Surgical Management.

[Congenital anomalies of the female reproductive tract--diagnosis and management].

The aim of this review was to discuss the putative etiology of Müllerian duct anomalies and to present the current diagnostic strategy and therapy Congenital defects of the female reproductive tract

Update in Müllerian anomalies: diagnosis, management, and outcomes

TLDR
Recent developments in three-dimensional ultrasonography and MRI improve the ability to accurately describe and diagnose female reproductive tract anomalies.

Pregnancy following re-stenosis of complete transverse vaginal septum

TLDR
A case of 23 year woman who came to us with 6 weeks pregnancy and complete transverse vaginal septum and Restenosis of vagina was observed during puerperium and no surgical intervention was done.

Spontaneous Rupture of the Imperforate Hymen in an Adolescent Girl with Hematocolpometra

TLDR
Hymenotomy may not be needed in cases with spontaneous rupture of the imperforate hymen if adequate opening for menstrual discharge is warranted, and the patient was managed conservatively.

References

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Urologic and Genital Anomalies in Patients With Congenital Absence of the Vagina

TLDR
The need for thorough preoperative evaluation of patients with genital malformations to include complete urologic studies is stressed, and various surgical procedures for correction of vaginal agenesis are stressed.

Müllerian Anomalies

  • L. Shulman
  • Medicine
    Clinical obstetrics and gynecology
  • 2008
TLDR
For many women a good reproductive outcome can be achieved, counseling, and in particular psychologic counseling, may be needed for some women, especially those with lesions that preclude childbearing and affect normal sexual function.

Vaginoplasty

TLDR
The conditions where vaginoplasty is indicated and the current techniques used for vaginal enlargement including vaginal dilatation are described and brief summaries of the literature on outcomes and discussion of the current controversies over vagInoplasty indications and timing are included.

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  • Medicine
    Acta obstetricia et gynecologica Scandinavica
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TLDR
Four cases of teenagers with vaginal agenesis will be reported where creation of a functional vagina was obtained purely by coital dilatation without use of any artificial instruments.

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Vaginal creation for müllerian agenesis.

TLDR
It is revealed that passive dilation with the Ingram method is capable of creating an adequate vaginal canal in patients with vaginal agenesis, with respect to both function and anatomy even in those patients with a previous hymenotomy and resultant scar formation.