Keywords:
Congenital, Imaging sequences, MR, Genital / Reproductive system female
Authors:
S. Nasir; Karachi/PK
DOI:
10.26044/ecr2019/C-3488
Methods and materials
This is a prospective study done at a tertiary care teaching hospital over a period of 18 months i.e.
January 2017 to June 2018,
after the approval from Ethical review committee of hospital.
The data was kept confedential.
All those patients who had a suspecion of transverse vaginal septum on bimanual gynaecological and speculoscopic examination were included in the study after informed consent.
Patients with obstructed septum on MRI and patients with past history of any vaginal surgery were excluded from the study. A 1.5 T MRI apparatus (General Electric) was utilized for images acquisition with T2-weighed fast spin echo (FSE) sequences,
in the axial,
sagittal and coronal planes,
and T1-weighted gradient-echo (GRE) sequences.
Contrast-enhanced T1weighted sequences are routinely utilized in vagina-dedicated protocols; however,
in some cases such images acquisition was not necessary.
All aseptic measures were used before the instillation of gel into the vaginal cavity.
The operator injected 30-40 ml of water based gel into the vaginal cavity through a 50cc tip syringe.
The use of aqueous gel was done to distend the vaginal cavity,
allowing for a better evaluation of vaginal septum or any other intraluminal lesions.
Post gel instillation T2 weighted images were taken in sagittal and coronal planes routinely and in axial plane if needed.
The location and thickness of vaginal septum,
functional length of vagina and associated anomalies were evaluated in each case and the details were recorded in performa.