Obstructive Uterovaginal Anomalies in Children

Abstract

Abstract Introduction: The congenital vaginal obstructions, which may be associated with labial synechia, imperforate hymen, complete vaginal transverse septum, partial vaginal agenesis or atresia are extremely rare reproductive system anomalies in children and a dolescents. A complete consensus has not been achieved in the diagnosis and management of uterovaginal canal obstructions in children and a dolescents. In this study, our uterovaginal canal obstruction experiences were evaluated with the literature. Materials and Methods: Data of patients with uterovaginal obstruction were evaluated, between 2015 and 2018. Values were expressed as counts and percentages. The files containing age, symptoms, diagnosis, radiological modalities and surgical management of the pa tients diagnosed with reproductive tract obstruction, between 1st April 2015 and 1st August 2018 were evaluated retrospectively. In addition to the general physical examination, a careful urogenital system examination was performed in the initial evaluation of the patients Results: Twenty-one female patients with uterovaginal obstruction were detected. The mean age was. The most common anomalies detected were labial synechia and imperforate hymen. Moreover, the labial synechia was determined in 9 patients, the imperfora te hymen in 7 patients , the distal vaginal atresia in 2 patients, the OHVIRA in 2 patients. Conclusion: Most of the uterovaginal obstructions can be treated with simple surgical interventi on when differential diagnosis is kept in mind. However, complex cases require a multidisciplinary approach.