To investigate the clinical course and management of congenital vaginal atresia. This retrospective analysis included patients with congenital vaginal atresia treated from March 2004 to August 2014 at the Obstetrics a...To investigate the clinical course and management of congenital vaginal atresia. This retrospective analysis included patients with congenital vaginal atresia treated from March 2004 to August 2014 at the Obstetrics and Gynecology Hospital of Fudan University. Thirty-nine patients were included in this study. Their average age was 16.87±2.2 years when they came to our hospital. Totally, 51% of the patients had isolated congenital vaginal atresia with a normal cervix, whereas the others had either cervical atresia or imperforate hymen. The primary presenting signs and symptoms included primary amenorrhea（71.8%）, periodic abdominalgia（41.0%）, abdominal pain（36.0%）, dyspareunia（10.3%）, menstrual disorders（5.1%）, and pelvic mass（5.1%）. Ultrasound and magnetic resonance imaging（MRI） were effective inspection methods for the screening of urogenital tract-associated anomalies. Vaginoplasty mainly included simple vagina reconstruction with insertion of a mold（n=22） and split-thickness skin grafting（n=4）. In 64% of surgical patients, normal menstrual bleeding was achieved. Four of the patients subsequently became pregnant and delivered at term. Primary amenorrhea, periodic abdominalgia and abdominal pain are the main reasons for the post pubertal patients to visit doctors. Surgical methods can successfully provide these patients an opportunity for subsequent conservative management, can result in normal menstrual bleeding, resolve cyclic pelvic pain, and provide some potential for fertility.展开更多
We introduced our experience for an innovative and effective approach for cervical canal penetration in patients diagnosed with type IIvaginal atresia with adequate uterine corpus development.The uterine cavity and ne...We introduced our experience for an innovative and effective approach for cervical canal penetration in patients diagnosed with type IIvaginal atresia with adequate uterine corpus development.The uterine cavity and neovagina was connected through the puncture setfor percutaneous nephrostomy while maintaining the integrity of the uterus and cervix under laparoscopic and transvaginal ultrasoundmonitoring.A porcine small intestine submucosal graft was fitted into the artificial vaginal wall.There were few side effects and no obvious sequelae.展开更多
基金supported by the National Key R&D Program of China(No.2016 YFC1303100)
文摘To investigate the clinical course and management of congenital vaginal atresia. This retrospective analysis included patients with congenital vaginal atresia treated from March 2004 to August 2014 at the Obstetrics and Gynecology Hospital of Fudan University. Thirty-nine patients were included in this study. Their average age was 16.87±2.2 years when they came to our hospital. Totally, 51% of the patients had isolated congenital vaginal atresia with a normal cervix, whereas the others had either cervical atresia or imperforate hymen. The primary presenting signs and symptoms included primary amenorrhea（71.8%）, periodic abdominalgia（41.0%）, abdominal pain（36.0%）, dyspareunia（10.3%）, menstrual disorders（5.1%）, and pelvic mass（5.1%）. Ultrasound and magnetic resonance imaging（MRI） were effective inspection methods for the screening of urogenital tract-associated anomalies. Vaginoplasty mainly included simple vagina reconstruction with insertion of a mold（n=22） and split-thickness skin grafting（n=4）. In 64% of surgical patients, normal menstrual bleeding was achieved. Four of the patients subsequently became pregnant and delivered at term. Primary amenorrhea, periodic abdominalgia and abdominal pain are the main reasons for the post pubertal patients to visit doctors. Surgical methods can successfully provide these patients an opportunity for subsequent conservative management, can result in normal menstrual bleeding, resolve cyclic pelvic pain, and provide some potential for fertility.
基金funded by National Science Basic Research Program of Shaanxi Province(Program No.2023-JC-YB-655)Talent Support Funding Program of Shaanxi Provincial People's Hospital(No.2022BJ-01).
文摘We introduced our experience for an innovative and effective approach for cervical canal penetration in patients diagnosed with type IIvaginal atresia with adequate uterine corpus development.The uterine cavity and neovagina was connected through the puncture setfor percutaneous nephrostomy while maintaining the integrity of the uterus and cervix under laparoscopic and transvaginal ultrasoundmonitoring.A porcine small intestine submucosal graft was fitted into the artificial vaginal wall.There were few side effects and no obvious sequelae.
