Hysteroscopic management of lower genital tract lesions in females with limited vaginal access.
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.
Ou
Kae-Yng
KY
Department of Obstetrics and Gynecology, Yuans' General Hospital, Kaohsiung, Taiwan.
Chen
Yu-Chieh
YC
Hsu
Shih-Cheng
SC
Tsai
Eing-Mei
EM
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