Congenital Anomalies of the Female Urogenital Tract

Croak, Andrew J.; Gebhart, John B.

doi:10.1097/01.spv.0000170512.56557.3d

Cited by 6 publications

(7 citation statements)

References 30 publications

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“…In the study conducted by JayatiNath et al 5 the incidence was 0.1% and similar in the study by Rock et al 1,3 by Crook et al 6 Most authors report incidence between 0.1%-3.5 %.…”

Section: Discussionsupporting

confidence: 51%

Analysis of Mullerian developmental defects in a tertiary care hospital: a four year experience

Patel

Desai

Pamnani

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…In the study conducted by JayatiNath et al 5 the incidence was 0.1% and similar in the study by Rock et al 1,3 by Crook et al 6 Most authors report incidence between 0.1%-3.5 %.…”

Section: Discussionsupporting

confidence: 51%

Analysis of Mullerian developmental defects in a tertiary care hospital: a four year experience

Patel

Desai

Pamnani

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…Pre-operative assessment of the patients included detailed counseling, physical examination, pelvi-abdominal ultrasound, a full hormonal profile and intravenous urography to exclude associated urological anomalies [1,2]. Mechanical bowel preparation was started 48 h before surgery.…”

Section: Methodsmentioning

confidence: 99%

“…The most widely used operation today for creating a neovagina is the use of a split thickness skin graft procedure developed by Abbe, Wharton and McIndoe. However, there is a need for continuous and prolonged dilatation during the contractile phase of healing to prevent constriction of the dissected space between the rectum and bladder [2].…”

mentioning

confidence: 99%

Vaginal reconstruction with sigmoid colon in vaginal agenesis

et al. 2007

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This study was conducted to evaluate the anatomical and functional results of sigmoid colon vaginoplasty. From June 2000 to June 2005, 26 patients with congenital vaginal agenesis were evaluated and treated with sigmoid colon reconstruction at Ain Shams University Maternity Hospital as a primary procedure in 17 patients and a secondary procedure in 9 patients after previous failed Abbe-McIndoe vaginoplasty elsewhere. The anatomical results were good in 22 patients, while 3 patients suffered from introital stenosis. Two of them were treated successfully by dilatation while one required Z-plasty. Eight patients were lost to follow-up and only ten patients are currently sexually active as the rest were divorced or remained unmarried. Of the sexually active patients, 8 (80%) had satisfactory intercourse whereas 2 (20%) complained of dyspareunia. Sigmoid colon vaginoplasty has satisfactory long-term anatomical and functional results and should be considered as primary option for the treatment of vaginal agenesis.

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“…A normal uterus is typically absent on rectoabdominal examination. These findings suggest m€ ullerian anomalies and should prompt imaging studies to clarify upper genital tract anatomy and differentiate MRKH from anomalies such as androgen insensitivity syndrome, vaginal atresia, or cervical agenesis (5).…”

Section: Discussionmentioning

confidence: 96%

“…Affected patients (usually having Mayer-RokitanskyKuster-Hauser syndrome [MRKH]) display normal secondary sexual characteristics, with congenital absence of the vagina and variable uterine/cervical hypoplasia/aplasia. Approximately 90% of affected women have some degree of m€ ullerian development, most often bilateral fibromuscular uterine remnants along the pelvic sidewall, with functional endometrium in only 2%-7% of these remnants (3,5,6). Ovarian endocrine and oocyte function is typically normal, and the karyotype is 46,XX (7).…”

mentioning

confidence: 99%