Female Repro (E1)

Question 1

What is the blood supply for the female repro system?

Answer 1

Vaginal artery (from internal pudendal)

Question 2

What is the best way to diagnose vestibulovaginal stenosis? What else can be diagnosed using this modality?

Answer 2

Vaginoscopy (can also be used to treat stenosis)

Can evaluate enture UG and repro tracts: Ectopic ureters, Neoplasia

Question 3

What type of stenosis involves a band of mucosal tissue oriented from the dorsal to the ventral wall?

Answer 3

Septal stenosis

aka Double Vagina

Question 4

What are the indication for an episiotomy? Describe the procedure.

Answer 4

Indications: Explore vagina, excise vaginal masses, repair lacerations, modify strictures (Septal stricutre)

1. Patient in perineal position
2. Place instrument in vulvar fissure
3. Incise from dorsal commissure to limits of vestibule
4. Control hemorrhage using electrocautery or Doyen forceps

5, Close in 3 layers (mucosa, muscle, skin)

Question 5

If an annular stenosis (aka imperforate hymen) is caudal to the pelvis how would you approach the surgery and what procedure(s) would you perform?

Answer 5

Dorsal approach

Vaginal resection and anastomosis

Question 6

If an annular stenosis (aka imperforate hymen) is intrapelvic how would you approach the surgery and what procedure(s) would you perform?

Answer 6

Transpelvic approach

Vaginectomy (+ OVE)

More difficult procedure than vaginal resection and anastomosis

Question 7

What type of procedure(s) is/are indicated for vaginal hypoplasia? Where does this hypoplasia occur?

Answer 7

Vaginectomy + OHE (maybe pubic approach)

Occurs between vestibulovaginal junction and cervix

Question 8

What treatment is indicated for a vuva that is engulfed by skin? What is this conformational abnormality called? What is the typical signalment of an affected dog?

Answer 8

Sx: Episioplasty/ vulvoplasty

Also: Weight loss and cleansing

Recessed/Hooded vulva

Sig: Medium to large breed and overweight

(does not correlate with early OHE, which was previously thought)

Question 9

Vaginal edema/hyperplasia occurs when ______ levels are high, usually in young large breed dogs. Tissues arise from the ______________.

__________ is often mistaken for edema, however it has a classical ___________shape.

Upon the occurrence of either of the aforementioned conditions, ______ (surgery) is indicated.

Answer 9

Vaginal edema/hyperplasia occurs when ESTROGEN levels are high, usually in young large breed dogs. Tissues arise from the VENTRAL VAGINAL FLOOR.

VAGINAL PROLAPSE is often mistaken for edema, however it has a classical CIRCULAR/DONUT shape. (entire circumference of the vagina prolapses)

Upon the occurrence of either of the aforementioned conditions, OHEis indicated.