GENERAL GYNECOLOGY CONGENITAL MALFORMATIONS OF THE FEMALE GENITAL

GENERAL GYNECOLOGY

CONGENITAL MALFORMATIONS OF THE FEMALE GENITAL TRACT

MCINDOE OPERATION (A) A plastic mould covered with skin from the thigh. (B) A space is created between the urethra/bladder and rectum. (C) Mould and graft are inserted and kept in place by suturing the split ends of labia minora.

IMPERFORATE HYMEN • • The closed vagina IN IMPERFORATE HYMEN lacks protective normal bacterial flora (Dőderlein’s bacilli), and its epithelium is poorly formed and has little natural resistance to infection. . Surgical incision of imperforate hymen may result in infection on top of the remaining degenerated blood and debris.

Hematocolps and hematometra ultrasound diagram

ULTRASOUND: Hematometrocolpos. BL bladder; U uterus; V vagina

Vulval inspection septate vagina and double vagina

bicornuate uterus coronal section

SUBSEPTATE UTERUS HYSTEROSALPINGOGRAPHY 3 D-ULTRASOUND SCAN

HYSTEROSALPINGOGRAPHY UNICORNUATE UTERUS

COMPLETE UTERINE SEPTUM 3 -D ULTRASOUND SCAN

HYSTEROSCOPY SUBSEPTATE UTERUS

LAPAROSCOPIC VIEW OF NORMAL PELVIS

Laparoscopic view complete uterus didelphys, with two cervix, two uterii, and two vaginas

Laparoscpic view: uterus didelphys with a single cervix and vagina

METROPLASTY OPERATION “STRASSMAN’S TECHNIQUE

PREGNANCY INSIDE A COMMUNICATING RUDIMENTARY UTERINE HORN

Examples of the cystic vestigial remnants include Parovarian cysts: Arise from the parovarium. They include remnants of the wolffian duct system (Gartner's duct cyst, kobelt's tubules, the epoophoron and the paroophoron). TORTION OF PAROVARIAN CYST

ENDOMETRIOSIS

PELVIC ENDOMETRIOSIS Chocolate cyst dark-brown nodules

Common sites of pelvic endometriosis

LAPAROCOPIC VIEW OF ENDOMETRIOSIS

Laparoscopy: endometriosis - red flares and black spots

LAPAROCOPIC VIEW OF ENDOMETRIOSIS

LAPAROCOPIC VIEW OF ENDOMETRIOSIS ENDOMETIOTIC FOCI BACK OF THE UTERUS UTEROSACRAL LIGAMENTS. AFFECTED BY ENDOMETRIOSIS DOUGLAS POUCH UTEROSACRAL LIGAMENTS (SURROUNDING THE RECTUM)

ADENOMYOSIS: thickened wall of the uterus.

Uterus Adenomyosis

TRAUMATIC LESIONS OF THE GENITAL TRACT

SECOND DEGREE PERINEAL TEAR

SECOND DEGREE PERINEAL TEAR transverse perineal muscles bulbocavernosus muscle

COMPLETE PERINEAL TEAR

LACERATIONS OF THE CERVIX UNILATERAL TRANSVERSE BILATERAL TRANSVERSE STELLATE

BILATERAL CERVICAL TEAR [ECTROPION] Both lips of the cervix are everted. The columnar epithelium is exposed. Treatment: Trachelorrhaphy (surgical repair).

VESICOVAGINAL FISTULA

VESICOVAGINAL FISTULA