Acquired gynatresia

Kunwar, Shipra; Khan, Tahir Ullah; Gupta, Harshita

doi:10.1136/bcr-2014-203529

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…Vaginal stenosis or gynatresia is often congenital, occurring as part of the Mayer-Rokitansky-Kuster-Hauser syndrome (2). Acquired vaginal adhesion and stenosis are not commonly observed clinically, especially in children.…”

Section: Discussionmentioning

confidence: 99%

Case report: Hysteroscopy combined with a vaginal mold for severe recurrent vaginal adhesion and stenosis with pyocolpos after pelvic fracture in a 13-year-old female

Wang

Zheng²,

Wang³

et al. 2022

Front. Pediatr.

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Vaginal adhesions and stenosis are infrequent long-term sequelae following pediatric pelvic fractures. Patients may not present with signs and symptoms before menarche, leading to delayed diagnosis and treatment. We report an adolescent girl who presented with a post-abdominal trauma pelvic fracture and urethrovaginal fistula and subsequent severe vaginal adhesion, which resulted in infection and obstructive symptoms after menarche. Hysteroscopy-guided vaginal adhesion release using an epidural catheter and ultrasonography was performed, followed by vaginal dilation, to resolve obstructive symptoms. For girls with pelvic fractures, education on possible long-term sequelae is required, as is regular follow-up. Timely diagnosis and treatment are important, and hysteroscopic release of vaginal adhesion and postoperative regular vaginal dilation may be an effective treatment.

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Section: Discussionmentioning

confidence: 99%

Case report: Hysteroscopy combined with a vaginal mold for severe recurrent vaginal adhesion and stenosis with pyocolpos after pelvic fracture in a 13-year-old female

Wang

Zheng²,

Wang³

et al. 2022

Front. Pediatr.

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“…Kaur et al also reported a case of postpartum acquired gynaetresia from vaginal packing with clothes soaked in caustic soda [8].InArab countries,acquired gynaetresia results from daily vaginal insertion of rock salt post-partum to restore the vagina back to its former nulliparous rugae. This act can also result in vaginal infection, secondary amenorrhoea, dysmenorrhoea, haematocolpos and haematometria after healing by fibrosis [10].…”

Section: Discussionmentioning

confidence: 99%

Successful spontaneous pregnancy in a nullipara with acquired gynaetresia: A case report

Ijeoma¹,

Chinweowa²

2021

World J. Adv. Res. Rev.

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Background: Gynaetresia is the narrowing or complete occlusion of the vagina which may be congenital or acquired. Acquired gynaetresia is commoner in Nigeria due to female genital mutilation and vaginal insertion of herbs. Gynaetresia is a public health issue that requires a great attention to prevent all its associated morbidities. Objective: To report a case of nullipara with acquired gynaetresia that presented in labour. Methods: The case note of the patient and how she was managed were reviewed. Relevant review of the literature on the subject was also done. Results: She was a 24 year old Primary Health Care (PHC) booked Gravida 3 Para 0+2, a trader with secondary level of education who presented in labour ward of Rivers State University Teaching Hospital (RSUTH) at an unknown gestation. She was referred from the PHC on account of labour pains of 6 hours duration and a dense fibrotic tissue sealing off most of the vaginal wall. There was a history of passage of herbal concoction in her vagina 14 months prior to presentation to induce abortion. She had emergency lower segment Caesarean Section (C/S) and outcome was a live male baby who weighed 3kg with a good APGAR score. She did well post operatively, was counseled for vaginoplasty and discharged home with her baby on the 5thpost-operative day in good clinical state. Conclusion: Acquired gynaetresia due to vaginal insertion of herbal pessaries is a preventable condition if only our women in this part of the world are made to understand the significance and implications of this act. This is by educating the public on the morbidities associated with this condition.

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“…Due to cultural customs, acquired gynae-atresia-vaginal stenosiswas once a well-known condition in various nations. 1 The most common causes of acquired gynaeatresia were chemical vaginitis from the use of caustic vaginal pessaries, secondary to the use of local herb pessaries, and female circumcision. Labial adhesions, or actual adhesions of the vaginal cavity, are uncommon in reproductive-aged women.…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic high vaginal stricture and hematocolpos impersonating vaginal septum in adolescent girl: a case report

Patel¹,

Patel²,

Bhadana³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Vaginal stenosis was once a well-known condition in various nations. Vaginal stenosis can be caused by a variety of factors and manifest in a variety of ways. Because its occurrence is based on misinformation and cultural beliefs, acquired gynaetresia continues to be a major public health concern in underdeveloped nations, despite the fact that it is preventable. Traditional treatment involves an abdomino-perineal approach that requires a laparotomy. We are presenting a rare instance of vaginal stenosis following perineal trauma in an adolescent girl, which resulted in hematocolpos, and also as a novel laparoscopic technique to the management of significant vaginal stenosis.

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Acquired gynatresia

Cited by 9 publications

References 14 publications

Case report: Hysteroscopy combined with a vaginal mold for severe recurrent vaginal adhesion and stenosis with pyocolpos after pelvic fracture in a 13-year-old female

Case report: Hysteroscopy combined with a vaginal mold for severe recurrent vaginal adhesion and stenosis with pyocolpos after pelvic fracture in a 13-year-old female

Successful spontaneous pregnancy in a nullipara with acquired gynaetresia: A case report

Post-traumatic high vaginal stricture and hematocolpos impersonating vaginal septum in adolescent girl: a case report

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