A study was carried out on 987 women with etiology of vaginal hypersecretion syndrome at Consulting Department of the Institute of Dermatology and Venerology from January to September 2002. The patients’ age was 18-25 and having sex previously. Results of the study: the rate of 24.4% infected with Candida fungi; 2.6% with gonococci, 2% with Trichomonas, 19.1% with Chlamydia trachomatis and 7.2% with anaerobic bacteria
Vaginal Discharge ; Vaginal Discharge/etiology

Primary tubal carcinoma is a rare carcinoma of the female genital tract, comparising with only 0.3% to 1% of female genital tract malignancies. Its histologic appearance and clinical behavior resemble that of primary ovarian carcinoma, thus the evaluation and treatment are also essentially the same. Presenting symptoms are variable, so pre-operative diagnosis is rare. A postmenopausal women presented with pelvic mass and vaginal discharge. It was initially diagnosed as ovarian tumor but primary carcinoma of the fallopian tube was confirmed postoperatively on the basis of the pathologic examination of resected specimen. So, we reported a case with a brief review of the concerned literature.
Diagnosis ; Fallopian Tubes* ; Female ; Humans ; Vaginal Discharge

OBJECTIVE: This study was to evaluate the incidence of genital Mycoplasmas Infection in Korean premenopausal women with gynecologic symptoms METHODS: Between January 2006 and December 2006, vaginal specimens from 90 premenopausal patients with gynecologic symptoms were obtained for analysis of genital Mycoplasmas infection using multiplex PCR. RESULTS: The incidence of M. hominis, U. urealyticum, and M. genitalicum infection was 44.4%, 18.9% and 2.2% respectively. From patients with non-foul odored vaginal discharge, M. hominis, and, U. urealyticum were detected in 37.8% and 17.8% respectively. From patients with bacterial vaginosis who had foul odored vaginal discharge, M. hominis, U. urealyticum, and M. genitalicum were detected in 71.4%, 14.3% and 4.8% respectively. From patients with PID or FHC syndrome, M. hominis, U. urealyticum, and M. genitalicum were detected in 43.8%, 37.5% and 6.3% respectively. CONCLUSION: The incidence of Mycoplasmas infection from vaginal specimens of Korean premenopausal women with gynecologic symptoms was about 66%. Especially, 56% of patients with non-foul odored vaginal discharge, 90% with bacterial vaginosis, and 88% with PID or FHC syndrome showed Mycoplasmas infection, so we suggest the consideration of Mycoplasmas infection as cause of gynecologic symptoms.
Female ; Humans ; Incidence ; Mycoplasma ; Odors ; Vaginal Discharge ; Vaginosis, Bacterial

To present a case of a patient complaining of vaginal discharge in the out-patient setting To discuss an algorithm on evaluation of vaginal discharge To discuss the differential diagnosis of patients presenting with vaginal discharge To enumerate the recommended diagnostic procedures To discuss the updated treatment recommendation
Female ; Aged ; Middle Aged ; Adult ; Young Adult ; Adolescent ; VAGINAL DISCHARGE

Two young dogs were referred to the Veterinary Medical Teaching Hospital of Konkuk University, one for examination of vaginal discharge and the other after being hit by a car. Dog 1 exhibited a high neutrophil count on Gram-stained vaginal smears, marked leukocytosis on a complete blood count, and uterine enlargement on ultrasonography. In dog 2, a markedly enlarged right uterine horn containing echogenic debris was found incidentally on ultrasonography. A tentative diagnosis of pyometra was made in both cases and ovariohysterectomy was performed. Purulent material was collected from each uterine horn and submitted separately for aerobic and anaerobic bacterial culture; all culture results were negative. The white blood cell count revealed normal limits 2 days post operation in dog 1 and 4 days post operation in dog 2. Positive bacterial cultures are usually obtained from dogs with pyometra, and antibiotic selection is based on the results of culture and sensitivity testing in the event of failure of empiric antibiotic therapy. However, in the cases reported here, no bacterial growth was identified from the uterine samples despite the presence of purulent material. A short course of empiric antibiotic therapy was administered. This is the first known report describing sterile pyometra in dogs.
Animals ; Blood Cell Count ; Diagnosis ; Dogs* ; Horns ; Hospitals, Teaching ; Leukocyte Count ; Leukocytosis ; Neutrophils ; Pyometra* ; Ultrasonography ; Vaginal Discharge ; Vaginal Smears

Prolapse of the fallopian tube into the vaginal vault after hysterectomy is a rare phenomenon and it occurs more frequently after vaginal hysterectomy than abdominal hysterectomy. The exact incidence of tubal prolapse is unknown, because most of cases remain undiagnosed and may resolve before detection. The tubal prolapse may be suspected when granulation tissue or tender friable tissue are detected in vaginal cuff in women complaining lower abdominal pain, dysparenunia, vaginal discharge, or postcoital spotting. The definitive diagnosis of fallopian tube prolapse is made only by histologic confirmation. Reported methods of treatment have included transvaginal excision or transabdominal excision, cautery, and combined vaginal and laparoscopic salpingectomy. We experienced a case of fallopian tube prolapse after abdominal hysterectomy in a 40-year-old woman. We present this case with a brief review of the literature.
Abdominal Pain ; Adult ; Cautery ; Diagnosis ; Fallopian Tubes* ; Female ; Granulation Tissue ; Humans ; Hysterectomy* ; Hysterectomy, Vaginal ; Incidence ; Metrorrhagia ; Prolapse* ; Salpingectomy ; Vaginal Discharge

Five cases of childhood candidal vulvovaginitis, each having clinical features of vulva erythema, pnuritus, and vaginal discharge, were examined. Circumst. antially, t.he suspected sources of infection and the attributatble factors for the candiclal nfection in these patients were mother of the children who had known candidal vulvovaginitis, and chronic diarrhea of the children. Regarding the treatment of these patients, 3 were given oral ketocanazole and 2 were treated with intravaginal clotrimazole preparations for more than 1 week with successful result. Concern for better hygiene in the anogenital area seems to be important in the prevention of childhood candidal vulvovaginitis.
Child ; Clotrimazole ; Diarrhea ; Erythema ; Humans ; Hygiene ; Mothers ; Vaginal Discharge ; Vulva ; Vulvovaginitis*

The mullerian ducts join the sinovaginal bulb at a point known as the mullerian tubercle. Canalization of the mullerian tubercle and sinovaginal bulb is necessary to give a normal vaginal lumen. If the area of junction between these structures is not completely canalized, a transverse vaginal septum will occur. This may be partial or complete and generally lies at the junction of the upper third and lower two thirds of the vagina. It occurs in about 1 per 75,000 females. Partial transverse vaginal septa have been reported in diethylstilbestrol (DES)-exposed females. In the prepubertal state, diagnosis is generally not made unless there is the development of a mucocolpos or mucometrium behind the septum. At puberty, however, if the septum is complete, hematocolpos and hematometrium may occur in a fashion similar to that seen in the imperforate hymen, except that there is no bulging at the introitus. The patient with an incomplete transverse septum may bleed somewhat but will still develop hematocolpos and hematometrium over time and may also complain of foul smelling vaginal discharge.
Adolescent ; Diagnosis ; Diethylstilbestrol ; Female ; Hematocolpos ; Humans ; Hymen ; Insemination* ; Mullerian Ducts ; Puberty ; Smell ; Vagina ; Vaginal Discharge

Colouterine fistula is an extremely rare condition because the uterus is a thick, muscular organ. Here, we present a case of a colouterine fistula secondary to colonic diverticulitis. An 81-year-old woman was referred to the emergency department with abdominal pain and vaginal discharge. Computed tomography showed a myometrial abscess cavity in the uterus adherent to the thick sigmoid wall. Upon contrast injection via the cervical os for fistulography, we observed spillage of the contrast into the sigmoid colon via the uterine fundus. Inflammatory adhesion of the distal sigmoid colon to the posterior wall of the uterus was found during surgery. The colon was dissected off the uterus. Resection of the sigmoid colon, primary anastomosis, and repair of the fistula tract of the uterus were performed. The postoperative course was uneventful. This case represents an unusual type of diverticulitis complication and illustrates diagnostic procedures and surgical management for a colouterine fistula.
Abdominal Pain ; Abscess ; Colon ; Colon, Sigmoid ; Diverticulitis ; Diverticulitis, Colonic ; Emergencies ; Female ; Fistula ; Humans ; Uterus ; Vaginal Discharge

Prevotella bivia (P. vivia) has a high proliferative potential in the presence of estrogen. Therefore, its involvement in vaginal tract infections, such as endometritis and pelvic inflammatory disease, has been well described in the literature. We experienced a very rare case of a 40-year old woman with a 6-cm abscess on the cuff who presented with a large amount of vaginal discharge and nausea two months after laparoscopic supracervical hysterectomy. Our case indicates that clinicians should be aware of the possibility of P. vivia infections although rare.
Abscess ; Endometritis ; Estrogens ; Female ; Humans ; Hysterectomy* ; Nausea ; Pelvic Inflammatory Disease ; Prevotella* ; Vaginal Discharge