title: Hysteroscopic management of lower genital tract lesions in females with limited vaginal access.
abstract: OBJECTIVE
  To show that hysteroscopy is a feasible and safe method of evaluation in females with limited vaginal access.
  
  
  METHODS
  Retrospective review of two patients who received hysteroscopy for evaluation of uterus didelphys with hemivagina and a cervical polyp.
  
  
  METHODS
  Private hospital.
  
  
  METHODS
  Two patients with either a vagina septum or cervical polyp.
  
  
  METHODS
  Hysteroscopy for visualization and resection.
  
  
  METHODS
  Resection of a vagina septum and cervical polyp.
  
  
  RESULTS
  No more cyclic dysmenorrhea in the patient with uterus didelphys and cessation of abnormal bleeding in the patient with a cervical polyp. Our results suggest that hysteroscopy can provide precise visualization of vagina and cervical lesions if the approach is difficult with decreased access, and allows concurrent treatment of pathologic conditions accordingly.
  
  
  CONCLUSIONS
  Hysteroscopy is favorable in the diagnosis and treatment of vaginal and cervical lesions in women with limited vaginal access because of age or a narrower vagina. In the Eastern culture, it is very important for females to maintain their state of virginity signified by an uninjured hymen ring. This problem is solved, as hysteroscopy allows the evaluation of malformations of the female genital tract.
authors.affiliation: Department of Obstetrics and Gynecology, Yuans' General Hospital, Kaohsiung, Taiwan.
authors.forename: Kae-Yng
authors.initials: KY
authors.lastname: Ou
authors.forename: Yu-Chieh
authors.initials: YC
authors.lastname: Chen
authors.forename: Shih-Cheng
authors.initials: SC
authors.lastname: Hsu
authors.forename: Eing-Mei
authors.initials: EM
authors.lastname: Tsai
mesh_terms: D000328:Adult; D002648:Child; D003560:Cysts / Q000601:surgery*; D004412:Dysmenorrhea / Q000209:etiology; D005260:Female; D006801:Humans; D006924:Hymen / Q000033:anatomy & histology / Q000473:pathology; D015907:Hysteroscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D011127:Polyps / Q000601:surgery*; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000473:pathology*; D014623:Vaginal Diseases / Q000601:surgery