As a continuation of the series on board objectives for Female Pelvic Medicine/Reconstructive Surgery Fellows, this lecture may be used to achieve a comprehensive understanding of female urogenital tract anomalies. The lecture focuses on urogenital anomalies unique to chromosomally normal females (XX) and excludes those of the intersex. Lecture objectives comprise:
1. A description of embryonic development particularly related to imperforate hymen, transverse vaginal septum, vaginal agenesis, and other common müllerian and gonadal abnormalities;
2. The history, physical examination, and appropriate diagnostic steps relevant to an appropriate evaluation of müllerian anomalies, including hormonal studies, karyotyping, imaging, and endoscopy; and
3. The medical and surgical management as related to imperforate hymen, transverse vaginal septum, vaginal agenesis, and other common müllerian and gonadal abnormalities.
Congenital anomalies of the female urogenital tract are challenging to diagnose. A long-term multidisciplinary approach to treatment may help the patient achieve satisfaction in anatomy, reproductive function, and sexuality.
From the Mayo Clinic, Rochester, Minnesota.
Reprints: Andrew Croak, DO, Northwest Ohio Center for Urogynecology and Women's Health, 625 Gibbs Street, Maumee, OH 43537. E-mail: email@example.com.