Hydrometrocolpos

Hydrometrocolpos was diagnosed in a neonate shortly after birth. A large collection of fluid was immediately removed from the distended; hymenotomy was performed. This was treated and she was put on prophylactic antibiotic The spectrum of hydrometrocolpos is broad, ranging from mild cases undetected until adolescence to more severe conditions described prenatally as a large pelviabdominal cystic mass. Clinical investigation revealed hydrometrocolpos, precocious puberty, urogenital sinus and other multiple malformations. Affected children require careful medical follow-up. Recurrence of hydrometrocolpos following surgical repair may lead to serious sequelae, such as chronic renal failure.At surgery, she was found to have a distal membrane that was excised, releasing a large volume of secretions.

Hydrometrocolpos is a rare congenital disorder in which excessive mucus secretions accumulate from a genital tract obstruction resulting in cystic dilatation such as malformations of gastrointestinal, cardiovascular, and ophthalmic structures, occur less consistently. Perineal examination was done in all the cases except 1, which was provisionally diagnosed as a case of intussusception. Ultrasonography, radiological examination and isotope renal scan were done. The spectrum of hydrometrocolpos is broad, ranging from mild cases undetected until adolescence to more severe conditions described prenatally as a large pelviabdominal cystic mass. Over a hundred cases of hydrometrocolpos have been reported previously. We believe that MKS is a distinct panethnic genetic entity, inherited in an autosomal recessive fashion, and that the diagnosis should be made only in female patients with hydrometrocolpos and polydactyly or in male patients with polydactyly who have an affected female relative.

Treatment Hydrometrocolpos

The most importent treatment Hydrometrocolpos :

• The baby showed masculinisation without clitoral enlargement and a narrow urogenital sinus with resulting hydrometrocolpos.
• Surgical hydrometrocolpos for imperforate should require only one definitive procedure to evacuate retained secretions and to assure maintenance of patency.
• Postoperative follow-up is deferred for 6-8 weeks to allow the patient to reestablish a menstrual cycle
• It is possible that dexamethasone treatment which is initially inadequate increases the risk of this latter complication.

The treatment of is Hydrometrocolpos not found yet. Here are some ways

• well- ordered hygienic mode of living
• a nutritious and bland diet
• adequate mental and physical rest
• daily exercise , agreeable, occupation, fresh air
• regular hours of eating and sleeping
• regulation of the bowels and wholesome companionship with others.

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