Atlas of Surgical Correction of Female Genital Malformation Lan Zhu Felix Wong Jinghe Lang Editors 123 Atlas of Surgical Correction of Female Genital Malformation Lan Zhu (cid:129) Felix Wong (cid:129) Jinghe Lang Editors Atlas of Surgical Correction of Female Genital Malformation Editors Lan Z hu Jinghe Lang Obstetrics and Gynecology Obstetrics and Gynecology Peking Union Medical College Hospital Peking Union Medical College Hospital Beijing Beijing China China Felix Wong Obstetrics and Gynaecology Liverpool Hospital Liverpool Australia ISBN 978-94-017-7245-7 ISBN 978-94-017-7246-4 (eBook) DOI 10.1007/978-94-017-7246-4 Library of Congress Control Number: 2015947346 Springer Dordrecht Heidelberg New York London © Springer Science+Business Media Dordrecht 2015 T his work is subject to copyright. 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Dordrecht is part of Springer Science+Business Media (www. springer.com) Contents 1 Abnormal Development of the Female Genital Tract . . . . . . . . . . . . . 1 Juan Chen , Fang Jiang , Jiali Tong , and Lan Zhu 2 The Diagnosis of Female Reproductive Tract Anomalies . . . . . . . . . . 31 Xiaochuan Li , Lan Zhu , Qing Dai , and Jingjing Lu 3 Abnormal Development of External Genitalia . . . . . . . . . . . . . . . . . . . 65 Fang Jiang , Qinjie Tian , Shu Wang , and Lan Zhu 4 Abnormal Development of the Vagina . . . . . . . . . . . . . . . . . . . . . . . . . 85 Guangnan Luo , Hang Mei Jin , Li Bin , Huan-ying Wang , Xianghua Huang , Huimei Zhou , Lan Zhu , Jie Yang , Qiushi Wang , Xue Xiang , and Na Chen 5 Abnormal Uterine Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207 Sumin Wang , Feng Xu , Limin Feng , and Xue Xiang Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243 v Contributors Li Bin Department of Obstetrics and Gynecology , An Zhen Hospital, Subsidiary of Capital Medical University , Beijing , China Juan Chen Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , Beijing , P. R. China Na Chen Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , Beijing , P. R. China Qing Dai D epartment of Ultrasound, P eking Union Medical College Hospital, Beijing , P. R. China Limin Feng Department of Gynaecology , Beijing Tiantan Hospital, The Capital University of Medical Sciences , Beijing , China Xianghua Huang D epartment of Obstetrics and Gynecology, T he Second Hospital of Hebei Medical University , Shijiazhuang, Hebei , China Fang Jiang Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , Beijing , P. R. China Hang Mei Jin Department of Obstetrics , Affi liated Obstetrics and Gynecology Hospital, College of Medical Sciences, Zhejiang University , Hangzhou , China Jingjing Lu Department of Radiology , Peking Union Medical College Hospital , Beijing , P. R. China Xiaochuan Li D epartment of Obstetrics and Gynecology, P eking Union Medical College Hospital , Beijing , P. R. China Guangnan Luo D epartment of Obstetrics and Gynecology, T he Luohu Hospital of Shenzhen , Shenzhen , China Qinjie Tian Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , Beijing , P. R. China vii viii Contributors Jiali Tong D epartment of Obstetrics and Gynecology, P eking Union Medical College Hospital , Beijing , P. R. China Shu Wang Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , Beijing , P. R. China Sumin Wang D epartment of Obstetrics and Gynecology, N anjing Maternity and Infant Hospital of Nanjing Medical University , Nanjing, Jiangsu , P. R. China Huan-ying Wang Department of Obstetrics and Gynecology , An Zhen Hospital, Subsidiary of Capital Medical University , Beijing , China Qiushi Wang Department of Obstetrics and Gynecology , The Second Hospital of Hebei Medical University , Shijiazhuang, Hebei , China Xue Xiang Department of Gynaecology and Obstetrics , The Second Affi liated Hospital, Medical School of Xi’an Jiaotong University , Xi’an , China Feng Xu D epartment of Obstetrics and Gynecology, N anjing Maternity and Infant Hospital of Nanjing Medical University , Nanjing, Jiangsu , P. R. China Jie Yang D epartment of Obstetrics and Gynecology, P eking Union Medical College Hospital , Beijing , P. R. China Huimei Zhou Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , Beijing , P. R. China Lan Zhu Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , Beijing , P. R. China Chapter 1 Abnormal Development of the Female Genital Tract Juan Chen , Fang Jiang , Jiali Tong , and Lan Zhu 1.1 The Development of the Female Genital System Jiali Tong , Juan Chen , and Lan Zhu 1.1.1 Anatomy of the Female Reproductive System The female reproductive system is composed of the internal and external genitalia depending on their anatomical positions along the genital tract. The internal genita- lia consist of ovaries, fallopian tubes, uterus, and vagina; the external genitalia include the mons pubis, labia majora and minora, clitoris, vestibule, and perineum. The development of these organs prior to puberty is very slow; after puberty, the follicle-stimulating hormone (FSH), luteinizing hormone (LH), and other sex hor- mones actively promote a rapid development of both internal and external genitalia. The uterus starts to enlarge at the age of 10, and it reaches adult size at the age of 18. The endometrium undergoes cyclical changes and sheds as menstruation under the infl uence of ovarian hormones. The vagina becomes long and wide and changes to gray in color. The vulva becomes swollen with pubic hairs appearing and under- goes transition to the adult appearance. The labia become hypertrophied and pigmented. J. Chen • F . Jiang • J. Tong • L. Zhu (*) Department of Obstetrics and Gynecology , Peking Union Medical College Hospital , No. 1 Shuaifuyuan , Beijing 100730 , P. R. China e-mail: [email protected] © Springer Science+Business Media Dordrecht 2015 1 L. Zhu et al. (eds.), Atlas of Surgical Correction of Female Genital Malformation, DOI 10.1007/978-94-017-7246-4_1