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Vaginal Surgery for Congenital Anomalies

QUINT, ELISABETH H. MD*; McCARTHY, JENIFER D. MD; SMITH, YOLANDA R. MD*

Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181cd4128
Vaginal Surgery
Abstract

Congenital anomalies of the vagina may be isolated to the vagina or be part of a more complex Mullerian tract anomaly with possible fertility concerns. Patient age, complete assessment of the anomaly before surgery, and the psychologic implications for the patient are important components of the initial evaluation and treatment planning. Imaging, including magnetic resonance imaging, should be used to assess the extent of the anomaly and possibly other organ systems involved. Surgeries for imperforate hymen, longitudinal septum, and low thin transverse septum are relatively straightforward. More complicated surgeries should be performed by a specialized surgical team.

Author Information

*Department of Obstetrics and Gynecology, Division of Gynecology

Division of Reproductive Endocrinology and Infertility, University of Michigan Health System, Ann Arbor, Michigan

Correspondence: Elisabeth H. Quint, MD, Department of Obstetrics and Gynecology, University of Michigan Health Systems, 1500 E. Medical Center Drive, Room L4100 Women's Hospital, Ann Arbor, MI 48109-0276. E-mail: equint@umich.edu; deef@med.umich.edu

© 2010 Lippincott Williams & Wilkins, Inc.