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Female Genital Development

Female Genital Development. Richard Schlussel M.D. Assistant Professor Department of Urology Columbia University. Normal development Duplication Agenesis UG Sinus Imperforate hymen CAH. Hypospadias. Hypospadias repair. Hypospadias repair. Paramesonephric duct A.K.A. Mullerian Duct

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Female Genital Development

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  1. Female Genital Development Richard Schlussel M.D. Assistant Professor Department of Urology Columbia University

  2. Normal development • Duplication • Agenesis • UG Sinus • Imperforate hymen • CAH

  3. Hypospadias

  4. Hypospadias repair

  5. Hypospadias repair

  6. Paramesonephric duct • A.K.A. Mullerian Duct • Becomes future • Fallopian tubes • Uterus • Upper 2/3 vagina

  7. VAGINAL AND UTERINE DUPLICATION

  8. Bicornuate Uterus

  9. Didelphys uterus

  10. Unicornuate Uterus

  11. Symptom • Blood persists despite tampon during menses Complete Vaginal Duplication

  12. Symptom • Upper vagina fills with blood during menses

  13. 1 in 5,000 births Mayer-Rokitansky-Küster-Hauser Syndrome

  14. VAGINAL AGENSIS

  15. Normal Hymenal Ring

  16. Imperforate hymen Mucous due to maternal hormones

  17. Intra-op drainage of imperf hymen

  18. UROGENITAL SINUS

  19. UROGENITAL SINUS

  20. X X CONGENITAL ADRENAL HYPERPLASIA (CAH)

  21. CAH 46 XX

  22. Association with Urinary Tract Anomalies • Renal agenesis • Ectopic ureters

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