Nonsurgical Management of Mullerian Agenesis with Saline Injection and Sustained Digital Pressure: A Case Series

Authors

  • Shakeela Ishrat Associate Professor, Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib Medical University
  • Farzana Deeba Associate Professor, Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib Medical University
  • Shaheen Ara Anwary Assistant Professor, , Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib Medical University
  • Jesmine Banu Professor, Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib Medical University
  • Parveen Fatima Ex- Chairman, Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib Medical University, Chairman and Professor of Obstetrics & Gynaecology, Care Medical College Hospital

DOI:

https://doi.org/10.3329/bjog.v36i1.65982

Keywords:

mullerian agenesis, vaginal dilatation

Abstract

When a woman with mullerian agenesis presents with blind or absent vagina, management options include surgical vaginoplasty or non surgical self dilatation. Vaginal dilation should be the first line management of mullerian agenesis. Because of the need for motivated, mature patients and long term dilatation and follow up, gynecologists usually go for surgical vaginoplasty. We tried a novel approach to nonsurgical dilation of vagina in the cases of mullerian agenesis. We injected normal saline into the potential space of vagina between urethra and rectum and applied digital pressure daily for 14-15 days. This procedure created a vaginal space which was to be further dilated by regular coitus and/ or vaginal dilators. We are presenting here a series of three cases of mullerian agenesis managed by non surgical vaginal dilatation, facilitated by prior saline injection and sustained digital pressure.

Bangladesh J Obstet Gynaecol, 2021; Vol. 36(1): 65-68

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Published

2023-05-08

How to Cite

Ishrat, S. ., Deeba, F. ., Anwary, S. A. ., Banu, J. ., & Fatima, P. . (2023). Nonsurgical Management of Mullerian Agenesis with Saline Injection and Sustained Digital Pressure: A Case Series. Bangladesh Journal of Obstetrics &Amp; Gynaecology, 36(1), 65–68. https://doi.org/10.3329/bjog.v36i1.65982

Issue

Section

Case Report