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Article
Ultrasound-assisted repair of a unique case of distal vaginal agenesis
Fertility and sterility
  • J. Kresowik
  • Ginny L. Ryan, University of Iowa
  • J. C. Austin
  • Bradley J. Van Voorhis, University of Iowa
Document Type
Article
Peer Reviewed
1
Publication Date
4-1-2007
NLM Title Abbreviation
Fertil Steril
PubMed ID
17239874
DOI of Published Version
10.1016/j.fertnstert.2006.06.062
Abstract

OBJECTIVE: 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.

Keywords
  • Child,
  • Female,
  • Follow-Up Studies,
  • Humans,
  • Vagina/abnormalities/surgery/ultrasonography
Published Article/Book Citation

Fertility and sterility, 87:4 (2007) pp.976.e9-976.12.

Citation Information
J. 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/