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Obstetrics and gynaecology
Published in Fazal-I-Akbar Danish, Essential Lists of Differential Diagnoses for MRCP with diagnostic hints, 2017
Delayed menarche:1 Constitutional (idiopathic delay in the activation of HPO axis).2 Vaginal atresia.3 Androgen insensitivity syndrome (46,XY karyotype; phenotypically female d/t peripheral resistance to androgens).
MRI image features and differential diagnoses of Herlyn–Werner–Wunderlich syndrome
Published in Gynecological Endocrinology, 2020
Jinlong Zhang, Shengfang Xu, Lei Yang, Yue Songhong
The main differential diagnosis is transverse vaginal septum [24–27]. This is caused by abnormal vertical fusion of the gyneduct, and the incidence of transverse septum in congenital vaginal dysplasia is very low. The transverse septum can be incomplete or complete; an imperforated vaginal septum is termed a complete translucent, and a septum with a small hole is termed an incomplete septum. The clinical manifestations are similar to those of congenital vaginal atresia. The thickness of the diaphragm varies and is usually less than 1 cm. A transverse vaginal septum can occur at any area of the vagina, with the upper part being the most common, typically without other genitourinary malformations. MRI normally shows the dilatation of the genital tract above the transverse septum, the expansion of the uterine cavity and the upper and middle vagina, abnormal transverse signal in the lower segment, and the low signal shadow on T2WI. The length and thickness of the transverse vaginal septum can also be measured by MRI.
Management of partial vaginal agenesis according to the Wharton-Sheares-George technique – a long-term follow-up
Published in Journal of Obstetrics and Gynaecology, 2020
Xuyin Zhang, Xiaoyan Tang, Yan Ding, Keqin Hua
Vaginal dilation has been recommended as first-line therapy for vaginal elongation in women with vaginal agenesis by the American College of Obstetricians and Gynecologists. However, it could not apply to partial vaginal agenesis, obviously. As it was useless for the relief of the abdominal pain and resulted in aggravation of potential endometriosis (Nadarajah et al. 2005; Khen-Dunlop et al. 2007; Callens et al. 2014), Vrunda suggested that the medical management of vaginal atresia could be performed through menstrual suppression using oral contraceptive pills taken in a continuous fashion to avoid surgical complications (Patel and Gomez-Lobo 2016). It also could not solve the problem of menstrual bleeding drainage.
Bowel vaginoplasty: a systematic review
Published in Journal of Plastic Surgery and Hand Surgery, 2018
Konstantinos Georgas, Valerio Belgrano, My Andreasson, Anna Elander, Gennaro Selvaggi
Congenital vaginal atresia and vaginal loss due to trauma or surgery can be devastating for a female patient, particularly for adolescenta [16]; therefore, the construction of a good functional substitute is important [16]. Furthermore, vaginoplasty can be performed as a gender-confirming procedure for transgender patients.