Abstract
Purpose of Review
The goal of this review is to provide a comprehensive overview of hydrometrocolpos, covering disease etiology, pathophysiology, clinical presentation, and diagnostic and management techniques, and known outcomes.
Recent Findings
This narrative review presents the literature on hydrometrocolpos in the pediatric population from the past 5 years. We highlight the 69 reported cases of hydrometrocolpos and classify them based on type of obstruction or associated anomaly, discuss new diagnostic algorithms based on imaging, and present novel and underutilized surgical techniques for definitive management.
Summary
Hydrometrocolpos, a condition characterized by retained fluid causing a distended vagina and uterus in the setting of a distal vaginal outflow obstruction, has a wide range of presentation severity based on the type of obstruction. Whether hydrometrocolpos is due to an isolated condition like imperforate hymen, a complex abnormality like cloacal malformation, or a part of a large congenital syndrome, the mainstay of treatment is decompression of the dilated vagina and surgical correction of the outflow obstruction. Imaging-based diagnostic algorithms and new treatment techniques reported in the literature, as well as longitudinal and patient-reported outcome research, can improve the lives of children affected by this condition.
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Availability of Data and Materials
No datasets were used in the writing of this paper. Content from pre-existing literature was used—citations listed in references section.
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A.G. and S.K. wrote the main manuscript and prepared tables and figures. All authors reviewed the manuscript.
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Grant, A., Carpenter, C.P., Li, B. et al. Hydrometrocolpos: a Contemporary Review of the Last 5 Years. Curr Urol Rep 24, 601–610 (2023). https://doi.org/10.1007/s11934-023-01191-4
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DOI: https://doi.org/10.1007/s11934-023-01191-4