Vaginogram

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Vaginogram
ICD-9-CM 88.9

A vaginogram is a medical imaging method in which a radiocontrast agent is injected while X-ray pictures are taken, to visualize structures of the vagina. [1] It has been used to visualize ureterovaginal fistulas, [2] [3]

Medical imaging technique and process of creating visual representations of the interior of a body

Medical imaging is the technique and process of creating visual representations of the interior of a body for clinical analysis and medical intervention, as well as visual representation of the function of some organs or tissues (physiology). Medical imaging seeks to reveal internal structures hidden by the skin and bones, as well as to diagnose and treat disease. Medical imaging also establishes a database of normal anatomy and physiology to make it possible to identify abnormalities. Although imaging of removed organs and tissues can be performed for medical reasons, such procedures are usually considered part of pathology instead of medical imaging.

Radiocontrast agents are substances used to enhance the visibility of internal structures in X-ray-based imaging techniques such as computed tomography, projectional radiography, and fluoroscopy. Radiocontrast agents are typically iodine, or more rarely barium-sulphate. They absorb external X-rays, resulting in decreased exposure on the X-ray detector. This is different from radiopharmaceuticals used in nuclear medicine which emit radiation.

Vagina part of the female genital tract

In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vulva to the cervix. The outer vaginal opening is normally partly covered by a membrane called the hymen. At the deep end, the cervix bulges into the vagina. The vagina allows for sexual intercourse and birth. It also channels menstrual flow (menses), which occurs in humans and closely related primates as part of the monthly menstrual cycle.

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Ureterovaginal fistula

A ureterovaginal fistula is an abnormal passageway existing between the ureter and the vagina. It presents as urinary incontinence. Its impact on women is to reduce the "quality of life dramatically."

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A urogenital fistula is an abnormal tract that exist between the vagina and bladder, ureters, or urethra. A urogenital fistula can occur between any of the organs and structures of the pelvic region. A fistula allows urine to continually exit through and out the vagina. This can result in significant disability, interference with sexual activity, and other physical health issues, the effects of which may in turn have a negative impact on mental or emotional state, including an increase in social isolation. Urogenital fistulas vary in etiology. Fistulas are usually caused by injury or surgery, but they can also result from malignancy, infection, prolonged and obstructed labor and deliver in childbirth, hysterectomy, radiation therapy or inflammation. Of the fistulas that develop from difficult childbirth, 97 percent occur in developing countries. Congenital urogenital fistulas are rare; only ten cases have been documented. Abnormal passageways can also exist between the vagina and the organs of the gastrointestinal system, and these may also be termed fistulas.

References

  1. "Radiology Department, Vaginogram Examination" (PDF). Oxford Radcliffe Hospitals. Retrieved 2016-12-05.
  2. Macaluso, J. N. (1981). "Ureterovaginal Fistula Detected by Vaginogram". JAMA: The Journal of the American Medical Association. 246 (12): 1339. doi:10.1001/jama.1981.03320120043027. ISSN   0098-7484.
  3. Moon, Sung Gyu; Kim, Seung Hyup; Lee, Hak Jong; Moon, Min Hoan; Myung, Jae Sung (2001). "Pelvic Fistulas Complicating Pelvic Surgery or Diseases: Spectrum of Imaging Findings". Korean Journal of Radiology. 2 (2): 97. doi:10.3348/kjr.2001.2.2.97. ISSN   1229-6929. PMC   2718108 . PMID   11752977.