Arvind SharmaDeptt. Of Surgery & Radiology, DGCNCOVAS,CSK HPKV ,PalampurHimachal Pradesh (INDIA)

Edematous swelling of vagina mucosa

Immediately cranial to the urethral orifice

Large mass to protrude outside the vulvar lips

Under the influence of estrogen

3 to 10 day old swollen, edematous, dry, ulcerated mass Self mutilation: 2 cases Age : 1 to 8 years

nullipara, primipara & multipara bitches

Pear shaped, doughnut shaped mass protruding from the vulva

Vaginal fold edema & prolapse

Tumors Fibroma Leiomyoma Originated from the

ventral vaginal floor Cranial to the urethral

orifice

Diagnosis: Vaginal edema & vaginal fold prolapse

Medical Application of LA jelly, glucocorticoid ointment Systemic antibiotics, NSAIDs, B-vitamins Relapse

Protocol I- Sedation with butorphanol@0.02mg/kg body

weight i/m Epidural anaesthesia under 2% lignocaine HCl Protocol II- Dissociative anaesthesia Atropine-xylazine-ketamine combination.

Amputation is the treatment of choice

Needle & two suture strands traversed through the base of edematous mucosa

Individual sutures are tied

Redundant vaginal mucosa is amputated

Cryosurgery done in 1 case

Urethra catheterized to prevent damage

Stump retracts back into the vaginal cavity

Vaginal digital examination done after 1 week to ensure vaginal patency

REMOVAL OF PROLAPSED MASS

ELECTROEXCISION

Smooth muscles bundles of vulva showing localised hydropic degeneration along with accumulation of non-inflammatory

edema in the interstitial spaces (H&E 20X)

Smooth muscles of vulva showing diffuse hydropic degeneration, edema and infiltration of inflammatory mononuclear cells

(MNCs) in the interstitium (H&E 20X)

Smooth muscles of vulva showing diffuse hydropic degeneration along with accumulation of non-inflammatory edema in the

interstitial spaces (H&E 20X)

THANK

YOU