The challenges of vaginal atresia and stenosis: Nigerian experience

Abstract
Of 6942 patients admitted to the Gynecology Unit of the University of Benin Teaching Hospital, 59 presented with gynatresia (vaginal atresia and stenosis), an incidence of 8.5/1000. The most common causes of this condition were caustic vaginitis, secondary to local herb pessary insertion [for abortion inducement or infertility treatment] and circumcision. The resulting vaginal adhesions were effectively treated surgically by simple adhesiolysis. There was a low incidence of congenital gynatresia. As the large proportion of cases of acquired gynatresia were preventable, improvement in health education should further reduce incidence of this condition in the community.

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