OHVIRA

OHVIRA or Obstructed Hemivagina and Ipsilateral Renal Anomaly is a rare congenital condition that affects the female reproductive and urinary systems. It is also known as Herlyn-Werner-Wunderlich syndrome.

Overview[edit | edit source]

OHVIRA is characterized by a triad of anomalies: a double uterus (uterus didelphys), an obstructed hemivagina, and an ipsilateral renal anomaly. The condition is usually diagnosed after menarche, when symptoms such as pelvic pain and a mass become apparent. However, it can also be diagnosed in adulthood.

Symptoms[edit | edit source]

The symptoms of OHVIRA can vary depending on the extent of the obstruction and the presence of other anomalies. Common symptoms include:

Pelvic pain
Dysmenorrhea (painful periods)
Abnormal vaginal discharge
Hematocolpos (accumulation of menstrual blood in the vagina)

Diagnosis[edit | edit source]

Diagnosis of OHVIRA is typically made through imaging studies such as ultrasound, MRI, or CT scan. These can reveal the characteristic triad of anomalies. In some cases, laparoscopy may be used to confirm the diagnosis.

Treatment[edit | edit source]

Treatment of OHVIRA typically involves surgery to remove the obstruction and allow normal menstrual flow. This can often be done through minimally invasive techniques. In some cases, additional surgeries may be needed to address other anomalies.

Prognosis[edit | edit source]

With appropriate treatment, the prognosis for individuals with OHVIRA is generally good. Most are able to have normal menstrual cycles and fertility following surgery.

References[edit | edit source]

OHVIRA Resources
Need Help Finding a Doctor? Need help finding a doctor or specialist anywhere in the world? Explore our world directory. WikiMD's DocFinder can assist you in locating millions of physicians.	Medical Knowledge Access the latest research - Most recent articles Ongoing trials.