Diagnosis and surgical treatment of congenital anomalies of the development of the female genital organs

Abstract

In the departments of pediatric surgery in clinics in Ryazan and Zaporizhia, 5 girls aged 12–16 years with malformations of the urinary and genital system were observed: duplication of the vagina and uterus, aplasia of the duplicated vagina in combination with aplasia of the kidney on the side of the malformation. In 3 children, the combined defect was right-sided, in 2 — left-sided, and accompanied by hematocolpos and hematometra. In the diagnosis of malformations of the urinary and genital system in girls, anamnesis, examination of the abdominal cavity and bimanual examination, ultrasound examination, excretory urography, vaginoscopy, and computed tomography were used. Currently, surgical excision of the underdeveloped vaginal wall is performed to empty it from menstrual discharge. The imposition of a wide window in the septum between the aplastic and healthy vagina is the preferred operation. Further observations are carried out by gynecologists.