Benign diseases of the female sexual organs.

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Benign diseases of the female sexual organs.

• Prepared by N. Bahniy

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Benign tumors of vulva
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Papilloma
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Bartholin's gland cyst
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Lipoma
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Fibroma
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Hydradenoma
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Gaertner cyst of the vagina- dysontogenetic
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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.

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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.

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• Cervix

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Benign cervical lesions

• 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

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Cervical erosion

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

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Ectropion
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Cervical polyp
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Fibroma of the cervix
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Cervical endometriosis
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• UTERUS

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Uterine leyomyoma (fibromyoma)

• Nodular
• Multiple

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• 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

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

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Treatment of women with uterine leiomyomas must
be individualized, based on

• Symptoms,
• Size and
• Rate of growth of the uterus, and
• The womans desire for fertility.

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EMA embolization of uterine artery
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Hysteroscopy in submucous myoma
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Submucous myoma
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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.
• estrogenprogestin 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.

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• Ovary

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Ovarian cysts
Dermoid
Thin membrane, small sizes, conservative or
surgery, rare complications
Conservative or Surgery oophorectomy, ovarian
resection
Chocolate cyst
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Ovarian cystomas
Thick membrane, large sizes, surgery, most often
complications
Serous Cystadenoma
Bilateral cystadenoma
Papillary cystadenoma
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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
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Thanks for attention!