What does Hydrocolpos mean?

Hydrocolpos is dilation of the vagina caused by fluid accumulation. It is associated with uterine dilation in hydrometrocolpos. It occurs as a result of vaginal hypoplasia or agenesis, transverse septum, or imperforate hymen. Hydrocolpos appears as amidline pelvic mass, posterior to the bladder.

What is Hematometrocolpos?

Hematometrocolpos is a rare congenital abnormality of the female urogenital system that leads to an imperforate hymen and subsequent retrograde menstruation. Complications of hematometrocolpos include abdominal and pelvic pain, hydronephrosis from extrinsic compression of the ureters, and infertility.

How do you treat Hydrocolpos?

The best treatment is simple incision of the occluding vaginal diaphragm. In 6 of the 40 cases described in the literature since 1940, hysterocolpectomy was done, and the diagnosis was made only after examination of the removed surgical specimen.

What causes an imperforate hymen?

An imperforate hymen is caused by failure of the hymen to perforate (open) during a baby’s growth and development inside her mother’s uterus.

How is Hematometrocolpos treated?

Treatment consists of hymenectomy and drainage. When complications are found (f.i. hydronephrosis or evidence of perforation), management may include more urgent treatment. In conclusion, hemato(metro)colpos is an accumulation of blood in the vagina (and uterus), mostly due to an imperforate hymen.

Is hematometra an emergency?

Hematometra can be suspected when pelvic ultrasound shows mixed echogenic contents. How might this improve emergency medicine practice? In the patient presenting to the emergency department with pelvic pain, consider hematometra based on previous obstetrical and gynecological history.

Where is the urogenital sinus?

The urogenital sinus is a part of the human body only present in the development of the urinary and reproductive organs. It is the ventral part of the cloaca, formed after the cloaca separates from the anal canal during the fourth to seventh weeks of development.

Can I get pregnant with imperforate hymen?

Abstract. Pregnancy success was evaluated in 48 women following surgical correction of a vaginal obstruction due to imperforate hymen (N = 22) or to a complete transverse vaginal septum (N = 26). Pregnancy success was more likely to occur following surgical correction of imperforate hymen (P less than . 05).

How do you treat imperforate hymen?

The standard treatment is to surgically cut away part of the hymen using a scalpel or laser. This procedure is called an hymenotomy. Usually an X-shaped cut versus a small, pinpoint one is made in the hymen. This type of cut allows for proper drainage of backed-up menstrual blood and the subsequent relief of symptoms.

What happens if hematometra goes untreated?

If left untreated, the infection may spread to the abdominal cavity (leading to peritonitis, the inflammation of the membrane lining the inside of the abdominal cavity) or to the bloodstream (causing sepsis).

How do you get rid of hematometra?

Hematometra is usually treated by surgical cervical dilation to drain the blood from the uterus. Other treatments target the underlying cause of the hematometra; for example, a hysteroscopy may be required to resect adhesions that have developed following a previous surgery.

What does urogenital sinus mean?

Urogenital sinus is a defect in your baby girl’s urinary and reproductive tract that happens during early fetal development and is present at birth. Normally, for a short period of time, the intestinal, reproductive and urinary tracts of your developing baby share a common cavity and opening.

What does urogenital sinus form in females?

During development, the urogenital sinus will form two separate openings. The openings become the urethra or opening of the urinary tract and the vagina. The urogenital sinus links the urethra or opening of the urinary tract and the vagina.

How can I fix my imperforate hymen?

A minor surgery can fix an imperforate hymen. The surgeon makes a small cut or incision and removes the extra hymen membrane. Girls who are diagnosed with imperforate hymen as babies most often have surgery when they are older and have just started puberty.

Can people with imperforate hymens have periods?

An imperforate hymen typically doesn’t cause any problems until a girl gets her period. At this point, the hymen membrane can block menstrual blood from flowing out of the vagina.

Do girls with imperforate hymen get periods?

In a pubescent girl, lack of a first menstrual period may be a sign of an imperforate hymen. An imperforate hymen typically doesn’t cause any problems until a girl gets her period. At this point, the hymen membrane can block menstrual blood from flowing out of the vagina.

Is hematometra serious?

Hematometra is a rare but potential cause of pelvic pain in women, especially those who may have undergone cervical procedures leading to scarring.

How common is urogenital sinus?

How common urogenital sinus? Urogenital sinus is a rare developmental defect affecting girls. The incidence rate is 0.6 per every 10,000 female births.

When does urogenital sinus occur?

The presence of a cloaca is a normal phase of early human embryological development. Between the 4th and 7th weeks of gestation, the cloaca undergoes subdivision to form the hindgut and urogenital sinus.

What do you do if you have an imperforate hymen?

Treatment. A minor surgery can fix an imperforate hymen. The surgeon makes a small cut or incision and removes the extra hymen membrane. Girls who are diagnosed with imperforate hymen as babies most often have surgery when they are older and have just started puberty.

https://www.youtube.com/watch?v=ZCKZvbyHLU4