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Benign diseases of the female sexual organs.

Benign diseases of the female sexual organs. Prepared by N. Bahniy. Benign tumors of vulva. Papilloma. Bartholin's gland cyst. Lipoma. Fibroma. Hydradenoma. Gaertner cyst of the vagina- dysontogenetic. Vaginal Polyp.

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Benign diseases of the female sexual organs.

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  1. Benign diseases of the female sexual organs. Prepared by N. Bahniy

  2. Benign tumors of vulva

  3. Papilloma

  4. Bartholin's gland cyst

  5. Lipoma

  6. Fibroma

  7. Hydradenoma

  8. Gaertner cyst of the vagina- dysontogenetic

  9. Vaginal Polyp • This is a rare tumor which can be seen in infants or in adults. The origin from the vaginal mucosa has to be demonstrated to differentiate from much more common urethral caruncles, cervical and uterus polyps.

  10. Vaginal fibroma • Fibroma of the vagina is a very rare tumor. It may be pedunculated and appear at the introitus. Clinically it is a firm benign noninfiltrating growth.

  11. Cervix

  12. Cervical erosion Leukoplakia (without atypia) Polyps Endometriosis Ectropion, scars Exo-, endocervicites Algorithm for investigation Speculum exam Pap smear, bacterioscopy Visual inspection after application acetic solution Colposcopy Biopsy Benign cervical lesions

  13. Cervical erosion • A true ulcer with loss of epithelial covering is seen in the anterior lip of cervix

  14. Ectropion

  15. Cervical polyp

  16. Fibroma of the cervix

  17. Cervical endometriosis

  18. UTERUS

  19. Uterine leyomyoma (fibromyoma) • Nodular • Multiple

  20. Laparoscopic view of a uterus with a pedunculated posterior myoma • A fibroid in this location should not affect chances for pregnancy or miscarriage • However, if it were pushing into the cavity of the uterus, it might cause problems

  21. Protruded myoma Treatment of women with uterine leiomyomas must be individualized, based on: Symptoms, Size and Rate of growth of the uterus, and The woman’s desire for fertility.

  22. Indications for surgical treatment - a rapidly growing myoma - persistent abnormal bleeding - Symptomatic myoma: pain or pressure - Myoma sizes more than 12 week of gestation Operations: myomectomy or hysterectomy

  23. Treatment of women with uterine leiomyomas must be individualized, based on: • Symptoms, • Size and • Rate of growth of the uterus, and • The woman’s desire for fertility.

  24. EMA – embolization of uterine artery

  25. Hysteroscopy in submucous myoma

  26. Submucous myoma

  27. Conservative treatment • Gonadotropin-Releasing Hormone Agonists - should be restricted to a 3- to 6-month interval, following which regrowth of fibroids usually occurs within 12 weeks. • estrogen–progestin combinations • Gestagens (depot medroxy-progesterone acetate (Depo-Provera), IUD - MIRENA • Danazol has been associated with a reduction in volume of the fibroid in the order of 20% to 25%.

  28. Ovary

  29. Ovarian cysts Dermoid Thin membrane, small sizes, conservative or surgery, rare complications Conservative or Surgery: oophorectomy, ovarian resection Chocolate cyst

  30. Ovarian cystomas Thick membrane, large sizes, surgery, most often complications Serous Cystadenoma Bilateral cystadenoma Papillary cystadenoma

  31. Torsion of the ovarian pedicle • Anatomical pedicle: • Ovarian lig • ov. Suspensory lig. • mesosalpinx mesosalpinx • Surgical pedicle: • Ovarian lig • ov. Suspensory lig. • Mesosalpinx • Fallopian tube Surgery -salpingooophorectomy

  32. Thanks for attention!

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