@article{Katuwal_Rana_2020, title={Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal}, volume={15}, url={https://www.nepjol.info/index.php/NJOG/article/view/32898}, DOI={10.3126/njog.v15i2.32898}, abstractNote={<p><strong>Aims:</strong> To find out the uterovaginal anomalies associated with congenital genital tract obstruction and successes achieved in its management.</p> <p><strong>Methods:</strong> 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.</p> <p><strong>Results:</strong> 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.</p> <p><strong>Conclusions:</strong> 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.</p> <p><strong>Keywords:</strong> adolescent, congenital, genital tract obstruction, resection</p>}, number={2}, journal={Nepal Journal of Obstetrics and Gynaecology}, author={Katuwal, Neeta and Rana, Ashma}, year={2020}, month={Nov.} }