MRI features and differential diagnoses of congenital vaginal atresia

Xu, Shengfang; Zhang, Jinlong; Wang, Suyang; Yang, Lei; Qian, Jing; Yue, Songhong; Zhu, Dong‐Ya; Yang, Laihu; Zhao, Li; Aiping, Yang; Li, Yunzhi; Xue, Qinliang

doi:10.1080/09513590.2019.1588875

Cited by 10 publications

(7 citation statements)

References 22 publications

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“…Congenital vaginal atresia can obstruct menstrual blood flow and can also lead to a series of clinical problems, such as amenorrhea, abdominal pain, pelvic mass, and endometriosis, which require timely surgical dissociation to relieve the obstruction (3,4). Complete vaginal atresia is usually associated with cervical dysplasia or cervical atresia (5)(6)(7). Currently, the main surgical method for patients with complete vaginal atresia is vaginoplasty with or without sparing the uterus (8,9).…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of laparoscopic vaginoplasty using the peritoneal flap and cervicoplasty in patients with congenital cervical and complete vaginal atresia: a pilot study

Liu¹,

Zhang²,

Wang³

et al. 2023

Ann Transl Med

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Background: Hysterectomy places a huge physical and mental burden on young female patients with congenital cervical and complete vaginal atresia. Thus, it is necessary to develop a method to detach the obstruction and simultaneously preserve the vagina and uterus in these patients. This study sought to evaluate the efficacy and safety of laparoscopic vaginoplasty using the peritoneal flap and cervicoplasty in patients with congenital cervical and complete vaginal atresia.Methods: Between April 2013 and June 2022, 9 patients with congenital cervical and complete vaginal atresia at Henan Provincial People's Hospital were enrolled in this prospective study. All the patients were treated with laparoscopic vaginoplasty using the peritoneal flap and cervicoplasty. Baseline clinical features (such as age, uterus size, etc.) were collected. The surgical success rate and adverse events were assessed. Results:The 9 enrolled patients had a median [interquartile range (IQR)] age of 15.0 (14.0-18.0) years, and 5/9 patients presented with pelvic adhesions. The surgeries were successful in all (9/9) patients, who preserved their vagina and uterus with a normal menstrual cycle. After a median follow-up duration of 48 months, the neovagina had a median length of 7.5 cm. Post-surgical complications occurred in 3/9 patients, which were cured by an appropriate treatment. The 5/9 married patients reported being satisfied with their sexual life.Conclusions: Even though the current study preliminary exhibits the efficiency of laparoscopic vaginoplasty using the peritoneal flap and cervicoplasty in patients with congenital cervical and complete vaginal atresia, due to the small sample size, lack of a control group, and relatively high incidence of the adverse events, further studies are still needed to verify the current findings. The current study put forward a further direction for preserving the vagina and uterus simultaneously for those patients with congenital cervical and complete vaginal atresia.

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Section: Introductionmentioning

confidence: 99%

Efficacy and safety of laparoscopic vaginoplasty using the peritoneal flap and cervicoplasty in patients with congenital cervical and complete vaginal atresia: a pilot study

Liu¹,

Zhang²,

Wang³

et al. 2023

Ann Transl Med

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“…It concluded CTvaginography as an officially feasible protocol which offers functional and structural evidence about medically suspected pelvic fistula. Xu et al, (2019) investigated the manifestations of MRI for inherited vaginal fistula. The clinical data and MRI findings of 12 patients were established by laparoscopy and hysteroscopic surgery and retrospectively examined.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Radiological Imaging Techniques (X-Rays, Mdct, and Mri) for Diagnosis of Pelvic Fistula: A Systematic Review

Shahzad¹,

Anjum

Siraj³

et al. 2021

Biol Clin Sci Res J

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This study aimed to evaluate the diagnostic performance of different imaging techniques for preoperative detection of pelvic fistula. Imaging and classification of female genital abnormalities considerably pelvic floor fistulas are significant. We conducted a systematic review of the available literature to highlight the effectiveness of different radiological imaging techniques (X-RAY,U/S,CT,MRI) for the diagnosis of different types of pelvic fistulas to see the limitations of conventional scanning and testing over modern imaging techniques and to show the effectiveness of choosing one imaging modality over other depending upon multiple dynamics e.g., site and types of fistula. The controlled and regular research cases (n= 9) available in English from 2011 to 2020 were included in criteria of research. The evidence databases were used for assessment of certain studies analytically by way of PEDro scale and explicated under decision guidelines. In all relevant articles were identified and included in this systematic review. The radiological techniques showed improved diagnostic performance that established the effectiveness of imaging advancement for administration and treatment of pelvic fistula. Conventional methods have less sensitivity and specificity as compared to modern techniques. X-RAY fistulography and ultrasonography has less sensitivity and specifity as compared to CT scan but still found beneficial in the diagnosis of colovaginal, uterovesical fistula and considered as the most basic clue about the existence of a malignant fistula respectively.it is verified that MDCT is the safer accurate and offered more detailed defects in diagnosis of urogenital, urethrorectal, lower urogenital tract fistulas, upper and middle vaginal fistulas colovesical fistulas(along with X-RAY) and prostate symphyseal fistula(along with MRI).It has been concluded that MRI can access colovesical fistulas inherited vaginal fistulas and prostate symphyseal fistulas(along with CT) more efficiently. It has been concluded that diagnostic imaging for all pelvic fistula is useful, to help the physicians, particularly radiologists, in diagnosis of pelvic fistulas. The choice of imaging technique is dependent upon multiple factors. Advanced medical imaging techniques XRAY,MDCT MRI) are considered more recommended choices as compared to conventional imaging.

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“…Clinically, the various types of vaginal blockage present similarly; however, differentiation is essential for appropriate surgical planning ( 6 , 7 ). The approaches to labia separation, imperforate hymen, transverse vaginal septum, and vaginal agenesis are completely different ( 8 , 9 ). Vulval synechia requires local estrogen therapy, a simple incision in the midline, or both.…”

Section: Discussionmentioning

confidence: 99%

Case report: Hydrometrocolpos conditioning recurrent urinary tract infections

et al. 2022

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We present a case of a 12.5-year-old girl who has suffered from recurrent urinary tract infections for many years but has never undergone a detailed diagnostic process. Only as a teenager did she complain of acute pain in her lower abdomen and it turned out that her genital organs had not properly developed. She had an obstructive defect in the reproductive tract. When there was a significant amount of discharge collected in the lumen of the genital tract and the organs had distended, acute pain appeared, which allowed us to make the diagnosis. In the diagnostic process, transperineal ultrasonography turned out to be extremely helpful, allowing us to establish the type and thickness of the obstruction. The patient underwent excision of transverse vaginal septum, and postoperative silicon dilators were used to prevent the recurrence of the obstruction. There was no recurrence of urinary infection or complications during the 11 months of follow-up.

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MRI features and differential diagnoses of congenital vaginal atresia

Cited by 10 publications

References 22 publications

Efficacy and safety of laparoscopic vaginoplasty using the peritoneal flap and cervicoplasty in patients with congenital cervical and complete vaginal atresia: a pilot study

Efficacy and safety of laparoscopic vaginoplasty using the peritoneal flap and cervicoplasty in patients with congenital cervical and complete vaginal atresia: a pilot study

Effectiveness of Radiological Imaging Techniques (X-Rays, Mdct, and Mri) for Diagnosis of Pelvic Fistula: A Systematic Review

Case report: Hydrometrocolpos conditioning recurrent urinary tract infections

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