scholarly journals Reconstruction of a completely obstructed rectosigmoid vaginal introitus in a transgender woman

2020 ◽  
Vol 26 (2) ◽  
pp. 70-73
Author(s):  
Tae Hyeon Lee ◽  
Jung Soo Yoon ◽  
Hee Chang Ahn
Keyword(s):  
Vaginal Introitus

Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting

2021 ◽  
Vol 14 (9) ◽  
pp. e245199
Author(s):  
Indunil Piyadigama ◽  
Chinthaka Banagala ◽  
Lakshman Kariyawasam ◽  
Madura Jayawardane
Keyword(s):  
Postpartum Haemorrhage ◽  
Foley Catheter ◽  
Labia Minora ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Life Saving ◽  
Saving Measure ◽  
Vaginal Introitus ◽  
Condom Catheter

Postpartum haemorrhage (PPH) due to multiple vaginal lacerations is difficult to manage and tamponade is used as a life-saving measure. Condom catheter with stay sutures at the vaginal introitus for this purpose has not been reported. We describe successfully managing PPH due to multiple vaginal lacerations following a forceps delivery using a condom tied to an 18 FG Foley catheter. The device was introduced to the vagina, inflated with 700 mL of normal saline and was held in situ by sealing the vaginal introitus with interrupted nylon stitches running between the labia minora. Condom catheter is cheap and freely available in low-resource settings. The preparation and application can be done by a less experienced operator.

scholarly journals Spontaneous Pregnancy in Postoperative Microperforated Hymen: A Case Report

2021 ◽  
Vol 17 (1) ◽  
pp. 79
Author(s):  
Pribakti Budinurdjaja ◽  
Ihya Ridlo Nizomy ◽  
Inas Tsurayya Fauziah Lahdimawan
Keyword(s):  
Case Report ◽  
Female Genital Tract ◽  
Reproductive Function ◽  
Vaginal Tissue ◽  
Small Opening ◽  
Interrupted Suture ◽  
Spontaneous Pregnancy ◽  
Patient Will ◽  
Term Baby ◽  
Vaginal Introitus

Abstract: Female genital tract anomalies have important effects on reproductive function, and usually recognized after puberty. The membrane canalization process end to various hymenal forms. Microperforate hymen appears as a partial obstruction depending on its  size. Most often, patient will present with menstrual disorders, dyspareunia, and infertility. The aim of this research was to report a case of spontaneous pregnancy in postoperative microperforated hymen in form of case report. A 27-year-old woman, P0A0, complained of pain during intercouse. Patient had been married for 1,5 years, had reguler menstrual cycles without any contraceptive method, but not conceived yet. Inspection showed an obstructed vaginal introitus with a small opening laterally at 3 o’clock, consistent witn microperforate hymen. During surgery, short vaginal introitus was observed and no vaginal canal was seen. A sound was inserted through a small opening of 1 mm in diameter laterally at 3 o'clock, followed by sufficient incision and excision of the distal vaginal tissue. Interrupted suture of the proximal and distal mucosa was performed. The vaginal portion as well as uterus appeared normal. Postoperative tissue healing was good. A spontaneous pregnancy occurred 56 days after the surgery and a healthy term baby was born by caesarean section. In the case of microperforated hymen, menstrual flow can be normal. The patient complained of dyspareunia or impaired sexual penetration leading to infertility, although the presence of a small opening may allow passage of sperm and spontaneous pregnancy may occur before the surgery. Surgery can reduce psychological stress and improve reproductive function, allowing pregnancy to occur. Keywords:Abstract: Female genital tract anomalies have important effects on reproductive function, and usually recognized after puberty. The membrane canalization process end to various hymenal forms. Microperforate hymen appears as a partial obstruction depending on its  size. Most often, patient will present with menstrual disorders, dyspareunia, and infertility. The aim of this research was to report a case of spontaneous pregnancy in postoperative microperforated hymen in form of case report. A 27-year-old woman, P0A0, complained of pain during intercouse. Patient had been married for 1,5 years, had reguler menstrual cycles without any contraceptive method, but not conceived yet. Inspection showed an obstructed vaginal introitus with a small opening laterally at 3 o’clock, consistent witn microperforate hymen. During surgery, short vaginal introitus was observed and no vaginal canal was seen. A sound was inserted through a small opening of 1 mm in diameter laterally at 3 o'clock, followed by sufficient incision and excision of the distal vaginal tissue. Interrupted suture of the proximal and distal mucosa was performed. The vaginal portion as well as uterus appeared normal. Postoperative tissue healing was good. A spontaneous pregnancy occurred 56 days after the surgery and a healthy term baby was born by caesarean section. In the case of microperforated hymen, menstrual flow can be normal. The patient complained of dyspareunia or impaired sexual penetration leading to infertility, although the presence of a small opening may allow passage of sperm and spontaneous pregnancy may occur before the surgery. Surgery can reduce psychological stress and improve reproductive function, allowing pregnancy to occur. Keywords: hymen, microperforate, infertility, spontaneous pregnancy

scholarly journals Histological and Gene Expression Analysis of the Effects of Menopause Status and Hormone Therapy on the Vaginal Introitus and Labia Majora

2019 ◽  
Vol 11 (11) ◽  
pp. 745-759 ◽  
Author(s):  
Robert L. Binder ◽  
Murray A. Freedman ◽  
Kailash B. Sharma ◽  
Miranda A. Farage ◽  
Yu Wang ◽  
...  
Keyword(s):  
Gene Expression ◽  
Hormone Therapy ◽  
Expression Analysis ◽  
Gene Expression Analysis ◽  
Labia Majora ◽  
Vaginal Introitus

A Mass in the Vaginal Introitus

2015 ◽  
Vol 167 (1) ◽  
pp. 207-207.e1
Author(s):  
Miltiadis Douvoyiannis
Keyword(s):  
Vaginal Introitus

scholarly journals Herlyn–Werner–Wunderlich syndrome with a protruding hymen over the vaginal introitus in a neonate

2017 ◽  
Vol 24 ◽  
pp. 49-52 ◽  
Author(s):  
Tatsuma Sakaguchi ◽  
Yoshinori Hamada ◽  
Yusuke Nakamura ◽  
Takeshi Shirai ◽  
Hiroshi Hamada ◽  
...  
Keyword(s):  
Vaginal Introitus

The vaginal introitus: A novel site for Chlamydia trachomatis testing in women

1996 ◽  
Vol 174 (5) ◽  
pp. 1542-1546 ◽  
Author(s):  
Harold C. Wiesenfeld ◽  
R.Phillip Heine ◽  
Anne Rideout ◽  
Ingrid Macio ◽  
Faith DiBiasi ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Vaginal Introitus

Comparison of Genital Examination Techniques in Prepubertal Girls

PEDIATRICS ◽  
1990 ◽  
Vol 85 (2) ◽  
pp. 182-187
Author(s):  
John McCann ◽  
Joan Voris ◽  
Mary Simon ◽  
Robert Wells
Keyword(s):  
Supine Position ◽  
Sexually Abused ◽  
Traction Method ◽  
Tissue Changes ◽  
Examination Techniques ◽  
Multimethod Approach ◽  
Soft Tissue Changes ◽  
Sexual Abuse Victims ◽  
Vaginal Introitus ◽  
Prepubertal Girls

The results of three separate methods used to examine prepubertal girls are compared and a technique for measuring hymenal orifice diameters from colposcopic photographs is presented. A total of 172 girls who were examined by three techniques during their evaluation in a clinic for suspected child sexual abuse victims were studied. Their ages ranged from 10 months to 11 years with a mean of 5 years, 8 months. The examination techniques used were the supine position with labial separation, the supine position with labial traction, and the knee-chest position. The knee-chest position (98%) and the supine traction method (96%) proved to be superior to the supine separation technique (86%) in opening the vaginal introitus. The largest vertical transhymenal diameters were produced in the knee-chest position, whereas the greatest transverse horizontal spans were generated by the supine traction procedure. Other soft tissue changes were noted but not quantified. A multimethod approach to the examination of the sexually abused child is recommended to take advantage of the strengths of each technique.

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