Hysteroscopic management of lower genital tract lesions in females with limited vaginal access.

OBJECTIVE

To show that hysteroscopy is a feasible and safe method of evaluation in females with limited vaginal access.

DESIGN

Retrospective review of two patients who received hysteroscopy for evaluation of uterus didelphys with hemivagina and a cervical polyp.

SETTING

Private hospital.

PATIENT(S): Two patients with either a vagina septum or cervical polyp.

INTERVENTION(S): Hysteroscopy for visualization and resection.

MAIN OUTCOME MEASURE(S): Resection of a vagina septum and cervical polyp.

RESULT(S): No more cyclic dysmenorrhea in the patient with uterus didelphys and cessation of abnormal bleeding in the patient with a cervical polyp. Our results suggest that hysteroscopy can provide precise visualization of vagina and cervical lesions if the approach is difficult with decreased access, and allows concurrent treatment of pathologic conditions accordingly.

CONCLUSION(S): Hysteroscopy is favorable in the diagnosis and treatment of vaginal and cervical lesions in women with limited vaginal access because of age or a narrower vagina. In the Eastern culture, it is very important for females to maintain their state of virginity signified by an uninjured hymen ring. This problem is solved, as hysteroscopy allows the evaluation of malformations of the female genital tract.