Ultrasound-assisted repair of a unique case of distal vaginal agenesisFertility and sterility
NLM Title AbbreviationFertil Steril
DOI of Published Version10.1016/j.fertnstert.2006.06.062
AbstractOBJECTIVE: To describe a unique vaginal outlet obstruction and its ultrasound-assisted surgical correction. DESIGN: Case report. SETTING: An academic medical center. PATIENT(S): A 12-year-old girl was seen with cyclic abdominal pain, nausea, and an abdominal mass. External genital examination revealed no vaginal opening or dimple. Transabdominal ultrasound revealed a large hematometrocolpos 5 cm proximal to the perineum, with an otherwise normal-appearing uterus and ovaries. INTERVENTION(S): Surgical treatment included perineal incision, creation of a 5-cm passage through connective tissue, drainage of the hematometrocolpos, and mobilization of the proximal vagina, allowing for pull-through vaginoplasty. Ultrasound guidance was used throughout the surgery and allowed for a safe transperineal approach. A vaginal form was placed in the neovagina. MAIN OUTCOME MEASURE(S): Follow-up clinical evaluation and pelvic ultrasonography. RESULT(S): A well-healed perineum and patent 5-cm-long vagina were observed at 4-month follow-up. The patient reported three regular menses. Postoperative pelvic ultrasound scan was normal. CONCLUSION(S): We describe a unique case of isolated distal vaginal agenesis of significant length that was successfully treated via a perineal approach with the intra-operative assistance of ultrasound guidance.
- Follow-Up Studies,
Published Article/Book Citation
Fertility and sterility, 87:4 (2007) pp.976.e9-976.12.
Citation InformationJ. Kresowik, Ginny L. Ryan, J. C. Austin and Bradley J. Van Voorhis. "Ultrasound-assisted repair of a unique case of distal vaginal agenesis" Fertility and sterility Vol. 87 Iss. 4 (2007) p. 976 - 976 ISSN: 1556-5653
Available at: http://works.bepress.com/ginny_ryan/22/