Netter's Obstetrics and Gynecology

Vaginal Prolapse

Introduction Description: Vaginal prolapse is the loss of the normal support mechanism, resulting in descent of the vaginal wall down the vaginal canal. In the extreme, this may result in the vagina becoming everted beyond the vulva to a position…

Vaginal Lacerations

Introduction Description: Nonobstetric lacerations of the vaginal wall or introitus are most often the result of sexual trauma (80%; consensual or otherwise); sports and straddle injuries make up most of the rest. Prevalence: Uncommon, but specific prevalence is unknown. Predominant…

Vaginal Dryness

Introduction Description: Vaginal dryness is characterized by the loss of normal vaginal moisture resulting in irritation, itching, or pain with intercourse. This loss may result from alterations in vaginal physiology caused by an infection or the loss of estrogen stimulation…

Vaginal Cysts

Introduction Description: Cystic masses in the vaginal wall are uncommon and may arise from either congenital (Gartner duct cysts) or acquired (epithelial inclusion cysts) processes. Prevalence: 1/200 women. Predominant Age: Generally from adolescence to middle reproductive years. Genetics: No genetic…

Transverse Vaginal Septum

Introduction Description: A transverse vaginal septum is a partial or complete obstruction of the vagina and is generally found at the junction of the upper third and lower two-thirds of the vaginal canal. The septum is generally less than 1…

Sarcoma Botryoides

Introduction Description: Sarcoma botryoides is a rare form of sarcoma (embryonal rhabdomyosarcoma) that is generally found in the vagina of young girls. These tumors may rarely arise from the cervix. Although the cervical form of the sarcoma is histologically similar…

Rectocele

Introduction Description: Failure of the normal support mechanisms between the rectum and vagina results in rectocele—herniation of the posterior vaginal wall and underlying rectum into the vaginal canal and eventually to and through the introitus. Also called posterior compartment prolapse.…

Fistulae: Gastrointestinal and Urinary Tract

Introduction Description: A fistula is an abnormal communication between two cavities or organs. In gynecology, this usually refers to a communication between the gastrointestinal or urinary tract and the genital tract. Connections directly to the skin are not discussed here.…

Enterocele

Introduction Description: Enterocele is the loss of support for the apex of the vagina through either a rupture or attenuation of the pubovesicocervical fascia, manifested by the descent or prolapse of the vaginal wall and underlying peritoneum, most commonly after…