https://doi.org/10.4081/pmc.2023.318
Two-balloon epistaxis catheter to ensure vaginal patency in a complex case of vaginoplasty for vaginal agenesis: a case report
Submitted: 24 March 2023
Accepted: 5 September 2023
Published: 27 November 2023
Accepted: 5 September 2023
Abstract Views: 548
PDF: 283
HTML: 13
HTML: 13
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Congenital vaginal atresia is a rare anomaly of the female genital tract. Many vaginoplasty procedures have been described, but the postoperative risk of vaginal stenosis remains a challenge. We report a case of isolated distal vaginal agenesis in a patient with neurological impairment where the use of an “alternative” dilator was needed. An 11-year-old girl with Down syndrome was admitted to the Emergency Department complaining of pelvic pain. The clinical evaluation showed a hard and painful pelvic mass associated with an imperforate hymen. Abdominal ultrasound and pelvic MRI were suggestive for hematometrocolpos and absence of the lower third segment of the vagina. Vaginoscopy confirmed the diagnosis of congenital vaginal agenesis. The patient then underwent a laparoscopic-assisted vaginoplasty. Considering the difficult management of the postoperative period, an epistaxis catheter was used as a vaginal stent and dilator. The use of an epistaxis catheter to provide adequate vaginal patency after vaginoplasty can be an alternative solution especially in those cases where calibrations with dilators are difficult or not tolerated.
ACOG Committee on Adolescent Health Care. ACOG Committee Opinion. Number 274, July 2002. Nonsurgical diagnosis and management of vaginal agenesis. Obstet Gynecol 2002;100:213-6.
DOI: https://doi.org/10.1016/S0029-7844(02)02158-0
Dietrich JE, Millar DM, Quint EH. Obstructive reproductive tract anomalies. J Pediatr Adolesc Gynecol 2014;27:396-402.
DOI: https://doi.org/10.1016/j.jpag.2014.09.001
Robbins JB, Broadwell C, Chow LC, et al. Müllerian duct anomalies: embryological development, classification, and MRI assessment. J Magn Reson Imaging 2015;41:1-12.
DOI: https://doi.org/10.1002/jmri.24771
Slaoui A, Benzina I, Talib S, et al. Congenital vaginal atresia: about an uncommon case. Pan Afr Med J 2020;37:69.
DOI: https://doi.org/10.11604/pamj.2020.37.69.21682
Tanitame K, Tanitame N, Urayama S, Ohtsu K. Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes. Jpn J Radiol 2021;39:733-740.
DOI: https://doi.org/10.1007/s11604-021-01115-7
Ciftci I. Laparoscopic-assisted perineal pull-through vaginoplasty. J Pediatr Surg 2012;47:e13-5.
DOI: https://doi.org/10.1016/j.jpedsurg.2011.11.070
Mansouri R, Dietrich JE. Postoperative Course and Complications after Pull-through Vaginoplasty for Distal Vaginal Atresia. J Pediatr Adolesc Gynecol 2015;28:433-6.
DOI: https://doi.org/10.1016/j.jpag.2014.12.007
Coskun A, Coban YK, Vardar MA, Dalay AC. The use of a silicone-coated acrylic vaginal stent in McIndoe vaginoplasty and review of the literature concerning silicone-based vaginal stents: a case report. BMC Surg 2007;7:13.
DOI: https://doi.org/10.1186/1471-2482-7-13
Cooper AR, Merritt DF. Novel use of a tracheobronchial stent in a patient with uterine didelphys and obstructed hemivagina. Fertil Steril 2010;93:900-3.
DOI: https://doi.org/10.1016/j.fertnstert.2008.10.022
How to Cite
Costantini, C., Fati, F., Pani, E., Beretta, F., Bisoffi, S., Mazzero, G., … Ciardini, E. (2023). Two-balloon epistaxis catheter to ensure vaginal patency in a complex case of vaginoplasty for vaginal agenesis: a case report. La Pediatria Medica E Chirurgica, 45(2). https://doi.org/10.4081/pmc.2023.318
Copyright (c) 2023 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Salvatore Fabio Chiarenza, Maria Luisa Conighi, Andrea Conforti, Ciro Esposito, Maria Escolino, Fabio Beretta, Maurizio Cheli, Vincenzo Di Benedetto, Maria Grazia Scuderi, Giovanni Casadio, Maurizio Marzaro, Leon Francesco Fascetti, Claudio Vella, Cosimo Bleve, Daniela Codric, Paolo Caione, Pietro Bagolan, Guidelines of the Italian Society of Videosurgery in Infancy for the minimally invasive treatment of the esophageal atresia , La Pediatria Medica e Chirurgica: Vol. 39 No. 3 (2017)
- Maria-Grazia Scarpa, Giordano Perin, Massimo Di Grazia, Daniela Codrich, Federica Pederiva, Edoardo Guida, Maria Antonietta Lembo, Antonio Giannotta, Jürgen Schleef, Surgery for distal hypospadias: what about the catheter? , La Pediatria Medica e Chirurgica: Vol. 39 No. 3 (2017)
- Sarah Abdelmohsen, Mohamed Abdelkader Osman, Hussein Ali Mostafa, Mohamed Fathy, Ibrahim Ali Ibrahim, Mahmoud Mohamed Mostafa, Almoutaz A. Eltayeb, Osama Abdullah Abdul Raheem, Rectovestibular fistula: Which surgical approach is suitable? A randomized controlled trial , La Pediatria Medica e Chirurgica: Vol. 44 No. 1 (2022)
- Ismael José Dorta Luis, Paloma González Carretero, Carmen Luz Marrero Pérez, Ignacio Hernández Cabezudo, Antonio López Figueroa, Andrea González Palau, Pulling out a broken catheter using interventional radiology in a preterm. Neonatal intensive care , La Pediatria Medica e Chirurgica: Vol. 43 No. 1 (2021)
- Carmine Noviello, Mercedes Romano, Letizia Trotta, Giuseppina Rosaria Umano, Alfonso Papparella, Are the complications after laparo-assisted endo-rectal pull-through for Hirschsprung disease related to the change of the anal tone? , La Pediatria Medica e Chirurgica: Vol. 46 No. 1 (2024)
- Enrica Caponcelli, Milena Meroni, Giulia Brisighelli, Claudia Rendeli, Emanuele Ausili, Piergiorgio Gamba, Antonio Marte, Barbara Daniela Iacobelli, Laura Lombardi, Ernesto Leva, Paola Midrio, Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group , La Pediatria Medica e Chirurgica: Vol. 43 No. 1 (2021)
- Gianluca Lista, Fabio Meneghin, Ilia Bresesti, Francesca Castoldi, Functional nutrients in infants born by vaginal delivery or Cesarean section , La Pediatria Medica e Chirurgica: Vol. 39 No. 4 (2017)
- V. Insinga, M. Pensabene, M. Giuffrè, M. Busè, M. Cimador, G. Corsello, F. Siracusa, Meconial peritonitis in a rare association of partial ileal apple-peel atresia with small abdominal wall defect , La Pediatria Medica e Chirurgica: Vol. 36 No. 3 (2014)
- Savina Mannarino, Eitan Keizman, Michele Pasotti, Alessia Claudia Codazzi, Elisabetta De Sando, Alessandro Giamberti, A rare case of discrete aortic coarctation in Williams-Beuren syndrome. Diagnostic and therapeutic considerations , La Pediatria Medica e Chirurgica: Vol. 37 No. 2 (2015)
- Rossella Angotti, Giulia Fusi, Elena Coradello, Clelia Miracco, Francesco Ferrara, Marina Sica, Alessandra Taddei, Gabriele Vasta, Mario Messina, Francesco Molinaro, Lichen sclerosus in pediatric age: A new disease or unknown pathology? Experience of single centre and state of art in literature , La Pediatria Medica e Chirurgica: Vol. 44 No. 1 (2022)
You may also start an advanced similarity search for this article.