Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal

Authors

  • Neeta Katuwal Dept Obs/Gyn, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Ashma Rana Dept Obs/Gyn, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Abstract

Aims: To find out the uterovaginal anomalies associated with congenital genital tract obstruction and successes achieved in its management.

Methods: This was a descriptive study done at department of Obs/Gyn at Tribhuvan University Teaching Hospital from April 2014 to April 2018. Types of genital tract obstruction, surgical treatment, success of management and surgical complications were studied.

Results: Of 35 cases 16 (46%) consisted of adolescents aged 11-15 yrs. Majority cases of GTO was due to vaginal septum 12(34%): longitudinal 4(33%), mostly transverse vaginal septum (TVS) 8(67%): upper TVS 4 and lower TVS 4,one among each associated with concurrent Imperforate hymen (IH). Other GTO consisted of only IH cases 9 (26%), vaginal agenesis 7 (21%), non- communicating rudimentary horn 4 , non-communicating right cornua 1and cervical stenosis 1(3%). Resection of septum performed in 12 cases of vaginal septum. hymenectomy in 8 and rudimentary horn excision in 4 cases. Restenosis was common complication in six cases.

Conclusions: Adolescent age of 11-15 years is the common age of presentation of genital tract anomaly with vaginal septum the most common. Pre-surgical assessment is the key to successful surgical outcome.

Keywords: adolescent, congenital, genital tract obstruction, resection

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Published

2020-11-15

How to Cite

Katuwal, N., & Rana, A. (2020). Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal. Nepal Journal of Obstetrics and Gynaecology, 15(2). Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/32898

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Original Articles