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They should always be included in the differential diagnosis of a suprapubic and\/or introital mass; in the latter case, vaginal vascular malformations and vaginal tumors should also be considered. Uterovaginal aplasia typically manifests with amenorrhea in puberty and needs to be differentiated from complete androgen insensitivity syndrome and gonadal dysgenesis of genetic males. Uterine fusion anomalies usually present with fertility and\/or obstetrical complications in adulthood. However, a unicornuate uterus with a blind rudimentary contralateral horn containing functioning endometrium, and didelphys or septate uterus with a deviating obstructive septum might present in childhood or puberty with sequelae related with secretions or menstrual retention. This review provides a collective account of the most clinically important information about vaginal and uterine anomalies in childhood and adolescence for clinicians involved in the care of young females with the aim to provide guidance in appropriate evaluation and management.<\/jats:p>","DOI":"10.1002\/ijgo.14362","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T07:54:46Z","timestamp":1658822086000},"page":"762-770","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Surgical disorders in pediatric and adolescent gynecology: Vaginal and uterine anomalies"],"prefix":"10.1002","volume":"160","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1428-2312","authenticated-orcid":false,"given":"Anastasia","family":"Mentessidou","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery and Urology Cambridge University Addenbrooke's Hospital  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros","family":"Mirilas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Aghia Sophia Children's Hospital  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,12]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Endocrine Development","author":"Sultan C","year":"2004"},{"key":"e_1_2_9_3_1","unstructured":"BankerH CohenHL SandhuPK.Sonography pediatric gynecology assessment protocols and interpretation.StatPearls Publishing;2022. 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