ABSTRACT
Hydrometrocolpos is a condition in which the uterus and vagina are grossly distended with retained fluid other than blood, usually in the presence of distal vaginal obstruction. The diagnosis and treatment of hydrometrocolpos has now been better streamlined as the condition is being diagnosed prenatally more frequently with the use of ultrasound and fetal magnetic resonance (MR) imaging. Newborns presenting with complications should be managed in the intensive care unit with systemic antibiotics, intravenous (IV) fluids, decompression of gastrointestinal tract by nasogastric aspiration, and administration of oxygen. The management options depend upon the type of obstruction. The advantages of an early drainage in neonates include drainage of the infected material to reduce sepsis, disconnection of the communication and retrograde flow of urine to the vagina, and allowing the inflamed vagina and uterus to shrink and occupy near-normal anatomical positions and size to allow planning of definitive surgery.
