Hysteroscopic management of OHVIRA syndrome using a "No-Touch" technique in virgin adolescents——13 consecutive case series
WANG Ruo-yi
ZOU Ling-xiao
HUANG Huan
ZHANG Qi
Jigyasa Subedi
XUE Min
WAN Ya-jun
XU Da-bao
Abstract：Objective To evaluate the efficacy and safety of hysteroscopic management of OHVIRA (Obstructed hemivagina and ipsilateral renal agenesis)syndrome using a"No-Touch"technique in virgin adolescents.Methods The data from thirteen virgin adolescents with OHVIRA syndrome treated by"No-Touch"hysteroscopic surgery in the Third Xiangya Hospital of Central South University during 2009-2016,was collected and analyzed to evaluate efficacy and safety of the management.Results The surgery went smoothly in all patients.There were no surgical complications including injury of the hymen or vaginal wall.The symptoms of dysmenorrhea and vaginal bleeding were completely relieved postoperatively.There were no vaginal stenosis or adhesion between the cutting surface of the vaginal septum in all patients,which was revealed by the follow-up vaginoscopy using a hysteroscope at 3 months postoperatively.Conclusion Hysteroscopic management of OHVIRA syndrome using a"No-Touch"technique in virgin adolescents is safe,microinvasive and effective,keeping the integrity of the hymen and avoiding the injury of the immature vaginal wall.
Keywords：obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndromeadolescentshysteroscopygenital malformation
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 89-93 )