(466) Declining Incidence of Acquired Gynetresia; Improved Access to Healthcare?

Abstract Introduction Acquired vaginal stenosis known as gynetresia has remained more common than the congenital type in developing countries where women engage all manner of harmful practices including insertion corrosives into vagina, female genital mutilation among others. Objective The objectives study were to find out current prevalence acquired gynetresia, pattern presentation, associated risk factors, treatment modalities employed and outcomes such care. Methods A retrospective (vagina stenosis) cases managed at our facility over a 20years period (2000 - 2019). total admission under was retrieved from hospital records department well indexed for vagina stenosis/atresia. medical retrieved. Data extracted these with aid proforma imputed IBM SPSS version 25 software analyzed by same software. Results rate found be 3/1000 gynecological admission. This is 50% decline findings 7/1000 previously demonstrated 30years done earlier center. Majority (64%) resulted corrosives. These prescribed or administered traditional healers treat uterine fibroid and/or infertility. Other causes poorly birth injuries mutilation. most them presented narrowing dyspareunia without apareunia, amenorrhea hypomenorrhea cyclical abdominal pains. Infertility common. commonest form intervention vaginoplasty skin grafting 80-90% success characterized restoration satisfactory sexual menstrual functions some reported pregnancies. Conclusions though preventable remains prevalent nations. Concerned authorities should intensify efforts public education eradication sociocultural healthcare that may result gynetresia. Disclosure No