February 25Feb 25 quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -"Hydrometrocolpos presents at the two extremes of childhood: initially during the neonatal period, when there is a high level of maternal hormones, and then at early puberty, when the patient herself begins to have production of estrogenic hormones. The distal vaginal obstruction is mostly due to imperforate hymen (in two thirds of cases), followed by a transverse vaginal septum and less commonly, vaginal atresia (with or without persistence of a urogenital sinus or cloaca).""Associated anomalies are common and quite often severe. These include anorectal malformations and unilateral or bilateral agenesis of the kidneys, ureters, and trigone. Ultrasonography, micturating cystourethrography (MCU), and MR urography can help to evaluate the associated genitourinary anomalies."
February 25Feb 25 Author quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -"Hydrometrocolpos has been classified into five types (Fig. 73.1) on the basis of the type and level of obstruction: 1. Low hymenal obstruction. 2. Mid-plane transverse membrane or septum. (a) Without communication. (b) With a small orifice as communication. 3. High obstruction with distal vaginal atresia. (a) Without perineal swelling. (b) With perineal swelling. 4. Vaginal atresia with persistence of the urogenital sinus. 5. Vaginal atresia with cloacal anomaly."
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