Kapitel 110- Vagina, vestibule and vulva

Question 1

What are the surgical approaches to the vagina?

Answer 1

a. Episotomy
b. Ventral approach through pubis and ischial osteotomy

Question 2

What is the arterial blood supply to the vagina, urethra, vestibule and vulva?

Answer 2

a. vagina, urethra, vestibule: vaginal artery (arises from internal pudendal artery)

b. Vulva: external pudendal artery

Question 3

What procedure is shown on the picture?

Answer 3

Episioplasty for treatment of a recessed vulva.

Question 3

List the 4 types of developmental anomalies of the vestibulovaginal junction

Answer 3

a. Focal hypoplacia
b. Imperforate hymen
c. Vertical septum
d. Double vagina

Question 4

Which is the most common vaginal tumor?

Answer 4

Leiomyoma

Question 5

What are the surgical treatment options for benign ang for malignant vaginal neoplasia?

Answer 5

a. Benign: Surgical recection, thourh episotomy if necessary
b. Malignant: vulvovaginaectomy and urethrostomy from a caudal approach if lesion is caudal to cervix.
i. If lesion is cranial to cervix, the entire reproductive tract can be resected through a caudala laparotomy and pubis osteotomy or a combination of an abdominal and perineal approach