Surgical Vaginoscopy

Intravaginal operations in young girls is difficult. The narrowness of the vagina and desire by certain girls to have the hymen intact leads to limitations. The small view and the problem of performing surgery with the conventional vaginoscope are impractical. It was decided to use a 7 mm hysteroscope attached to D5W (for dilatation) in such situations. The benefits were: clear panoramic view, dilatation of vagina for better diagnosis, and better surgical maneuverability via the surgical channel of the hysteroscope. This abstract describes experiences in four young girls with: endocervical polyp (2 cases), pedunculated intracervical myoma (1 case) and a huge cervical cyst (1 case). Surgical vaginoscopy was facilitated by the use of a 7-mm hysteroscope and the operation was successful in all of these patients without traumatizing the hymen.