124. Distal Vaginal Atresia

Distal vaginal atresia is a rare but psychosocially difficult congenital malformation that is often not recognized until a young patient presents with primary amenorrhea and typically concurrent abdominal pain. Vaginal atresia, or the failure of the vaginal plate to canalize, occurs secondary to failure of the urogenital sinus to form the lower portion of the vagina. The definitive management of distal vaginal atresia involves surgical drainage of the hematocolpos followed by anastomosis of the vaginal mucosa with the perineum.

Source: Journal of Pediatric and Adolescent Gynecology - March 29, 2020 Category: OBGYN Authors: Dijana Poljak, Holly Hoefgen, Diane Merritt Source Type: research