Skip Navigation LinksHome > June 2008 - Volume 51 - Issue 2 > Surgical Correction of Vaginal Anomalies
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e31816d2181
Pediatric and Adolescent Gynecology

Surgical Correction of Vaginal Anomalies

MILLER, RACHEL J. MD; BREECH, LESLEY L. MD

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Abstract

Summary of accurate diagnosis and surgical management of vaginal anomalies. Imperforate hymen, transverse septa, and distal vaginal agenesis present similarly with pain and hematocolpos. Likewise, imperforate hymen, transverse septa, distal vaginal agenesis, and Müllerian aplasia may appear similarly on examination. Imaging should be used to better differentiate the anomaly. Although surgical correction is the mainstay of hymenal anomalies, septa, obstructed hemivaginas, and distal vaginal agenesis, first-line therapy for Müllerian aplasia is progressive dilation. Many surgical techniques are also described but no consensus exists as to the best one. Clinicians should be aware of the appropriate evaluation, differential diagnosis, and management options available for vaginal anomalies.

© 2008 Lippincott Williams & Wilkins, Inc.

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