Advertisement

Bedside Intervention for Neonatal Hydrometrocolpos and Imperforate Hymen

Published:November 24, 2021DOI:https://doi.org/10.1016/j.urology.2021.11.016

      Abstract

      Low complexity cases of neonatal hydrometrocolpos from imperforate hymen are typically treated with hymenotomy or hymenectomy. Although this is commonly performed in the operating room, bedside management is also safe and effective. We present a case of prenatally diagnosed, simple hydrometrocolpos treated via bedside hymenotomy on the first day of life. The patient received periprocedural antibiotics prior to the procedure and had full resolution of hydrometrocolpos without any complication or need for further intervention. Early intervention and administration of periprocedural antibiotics allowed for safe management of this condition without the risks and resources of treatment in the operating room.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Spencer R
        • Levy DM
        Hydrometrocolpos.
        Ann Surg. 1962; 155: 558-571https://doi.org/10.1097/00000658-196204000-00013
        • Gupta D
        • Sharma S.
        Hydrometrocolpos.
        (editors)in: Puri P Höllwarth Michael Pediatric Surgery: Diagnosis and Management. Springer, Berlin2009: 957-966https://doi.org/10.1007/978-3-540-69560-8_96
        • Kahn R
        • Duncan B
        • Bowes W.
        Spontaneous opening of congenital imperforate hymen.
        J Pediatr. 1975; 87: 768-770https://doi.org/10.1016/s0022-3476(75)80306-4
        • Nagai K
        • Murakami Y
        • Nagatani K
        • et al.
        Life-threatening acute renal failure due to imperforate hymen in an infant.
        Pediatr Int. 2012; 54: 280-282https://doi.org/10.1111/j.1442-200X.2011.03422.x
        • Grimstad F
        • Strickland J
        • Dowlut-McElroy T.
        Management and prevention of postoperative complications in a neonate with a symptomatic imperforate hymen.
        J Pediatr Adolesc Gynecol. 2019; 32 (10.1016/j.jpag.2019.04.003): 429-431
        • Nagaraj BR
        • Nagendra PD
        • Paramesh VM
        • Basavalingu D.
        Radiological diagnosis of neonatal hydrometrocolpos- a case report.
        J Clin Diagn Res. 2016; 10: 18-19https://doi.org/10.7860/JCDR/2016/18537.7510
        • Okoro PE
        • Obiorah C
        • Enyindah CE.
        Experience with neonatal hydrometrocolpos in the Niger Delta area of Nigeria: upsurge or increased recognition?.
        Afr J Paediatr Surg. 2016; 13: 161-165https://doi.org/10.4103/0189-6725.194666
        • El-Messidi A
        • Fleming NA.
        Congenital imperforate hymen and its life-threatening consequences in the neonatal period.
        J Pediatr Adolesc Gynecol. 2006; 19: 99-103https://doi.org/10.1016/j.jpag.2006.01.005
        • Shaked O
        • Tepper R
        • Klein Z
        • Beyth Y.
        Hydrometrocolpos—diagnostic and therapeutic dilemmas.
        J Pediatr Adolesc Gynecol. 2008; 21: 317-321https://doi.org/10.1016/j.jpag.2007.12.011
        • Garcia Rodriguez R
        • Pérez González J
        • Garcia Delgado R
        • et al.
        Fetal hydrometrocolpos and congenital imperforate hymen: prenatal and postnatal imaging features.
        J Clin Ultrasound. 2018; 46: 549-552https://doi.org/10.1002/jcu.22588
        • Hasan M
        • Saba E
        Prenatal ultrasonographic diagnosis of hydrometrocolpos.
        J Med Ultrasound. 2010; 18: 81-84https://doi.org/10.1016/s0929-6441(10)60012-4
        • Peleg D
        • Shinwell ES.
        Newborn imperforate hymen resulting in hydronephrosis.
        J Pediatr. 2019; 207: 258https://doi.org/10.1016/j.jpeds.2018.12.051
        • Lee JH
        • Zhang J
        • Wei L
        • Yu SP
        Neurodevelopmental implications of the general anesthesia in neonate and infants.
        Exp Neurol. 2015; 272 (10.1016/j.expneurol.2015.03.028): 50-60
        • Shippert RD.
        A study of time-dependent operating room fees and how to save $100 000 by using time-saving products.
        Am J Cosmetic Surg. 2005; 22: 25-34https://doi.org/10.1177/074880680502200104