Surface transperineal ultrasound and vaginal abnormalities: applications and strengths

Hamed, Soha Talaat; Mansour, Sahar

doi:10.1259/bjr.20170326

Cited by 8 publications

(6 citation statements)

References 7 publications

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“…It allows for the estimation of the thickness and level of the vaginal pathologies that are obscured behind the hymen, especially in virgin females. Finally, it may be very helpful in planning the therapy ( 5 ). In this case, despite not having visualized but being aware of possible connections between the closed vagina and the bladder or urethra, we decided to perform also intraoperative cystoscopy.…”

Section: Discussionmentioning

confidence: 99%

Case report: Hydrometrocolpos conditioning recurrent urinary tract infections

et al. 2022

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We present a case of a 12.5-year-old girl who has suffered from recurrent urinary tract infections for many years but has never undergone a detailed diagnostic process. Only as a teenager did she complain of acute pain in her lower abdomen and it turned out that her genital organs had not properly developed. She had an obstructive defect in the reproductive tract. When there was a significant amount of discharge collected in the lumen of the genital tract and the organs had distended, acute pain appeared, which allowed us to make the diagnosis. In the diagnostic process, transperineal ultrasonography turned out to be extremely helpful, allowing us to establish the type and thickness of the obstruction. The patient underwent excision of transverse vaginal septum, and postoperative silicon dilators were used to prevent the recurrence of the obstruction. There was no recurrence of urinary infection or complications during the 11 months of follow-up.

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Section: Discussionmentioning

confidence: 99%

Case report: Hydrometrocolpos conditioning recurrent urinary tract infections

et al. 2022

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“…Choice of diagnostics is key in properly describing the pathology. Ultrasound appears to be a better alternative to MRI as the latter may be inferior at detecting subtle vaginal soft-tissue pathologies [8].…”

Section: Discussionmentioning

confidence: 99%

Labial Agglutination in a Reproductive Age Woman

B¹,

Margarita²

2022

Obstet Gynecol Cases Rev

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A 25-year-old nulligravid was consulted due to inability to have sexual intercourse accompanied by chronic urinary hesitancy, dribbling, and dysmenorrhea. On gynecologic pelvic examination, she presented with complete, adultonset fusion of the labia minora. This paper describes a stepwise management of a reproductive-age woman with complete labial fusion. Treatment goals include etiological determination, anatomic correction, restoration of normal sexual function, improvement of genitourinary function, and improved quality of life. She underwent vaginoscopy with incision of labial agglutination and repair. Corrective surgery has led to full exposure of the normal vaginal introitus. Post-operatively, topical antibiotics, petrolatum gel, and estrogen cream were applied resulting in a normal anatomy after 2 months. Healthy sexual function was achieved and, six months later, she conceived.Labial fusion during reproductive years should be carefully investigated as this is exceedingly rare and unexpected in reproductive-age women with normal hypothalamic pituitary ovarian (HPO) function. Issues of underlying predisposing factors need to be addressed and are necessary to prevent recurrence.

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“…During sonovaginography, the evaluation of the vagina and cervix is conducted after filling the vagina with US gel and after assessment of these structure in 2D US (B-mode) and MRI (magnetic resonance imaging) (22,24) . Additionally, it is possible to visualize fistulae and defects of the vagina after gel application and assessment in 3D US (22,25) . The number of the presented methods shows how important imaging is for the evaluation of vaginal pathologies, which may be overlooked during a conventional examination.…”

Section: Discussionmentioning

confidence: 99%

The use of high-frequency ultrasonography in the assessment of selected female reproductive structures: the vulva, vagina and cervix

Migda¹,

Migda²,

Słapa

et al. 2019

J Ultrason

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Introduction: High-frequency ultrasonography enables visualization the layered structure of the skin and shows the epidermis, dermis, subcutaneous tissue and skin appendages: hair follicles, sebaceous glands, sweat glands and blood vessels. The aim of this study was to apply high-frequency ultrasonography to evaluate the structure of the vulva, vagina and cervix, and to describe their anatomy in ultrasound. Material and method: The examinations were conducted with the use of high-frequency probes: DermaView 48 MHz and Episcan 50 MHz, by three operators experienced in performing classical ultrasound scans (with 30-, 10-and 9-year experience). The study involved 50 women aged 20-80 years who reported for a periodical gynecological check-up and presented no symptoms within the reproductive system. Results: In this study, the individual layers of the skin in the area of the mons pubis, labia majora (together with hair follicles and sweat glands) and labia minora were successfully visualized in all the patients. The subepidermal low-echogenicity band was seen in the area of the mons pubic and labia majora in 40 cases. This concerned 100% of women who underwent cosmetic skin treatments. In all the patients, HFUS demonstrated the layered structure of the anterior and posterior vaginal walls, the walls of the urinary bladder and rectum, layers of the vaginal portion of the cervix and the external opening of the cervix. Conclusions: High-frequency ultrasonography offers new quality of vulvar, vaginal and cervical imaging. It can be used for evaluation of the vulva and vagina, and confirms their layered structure. It also enables accurate measurements of the thickness of the vulvar epidermis and dermis as well as the thickness of the vaginal walls.

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Surface transperineal ultrasound and vaginal abnormalities: applications and strengths

Cited by 8 publications

References 7 publications

Case report: Hydrometrocolpos conditioning recurrent urinary tract infections

Case report: Hydrometrocolpos conditioning recurrent urinary tract infections

Labial Agglutination in a Reproductive Age Woman

The use of high-frequency ultrasonography in the assessment of selected female reproductive structures: the vulva, vagina and cervix

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