TITLE:
Acquired Gynaetresia: A Retrospective Review of Cases Managed at a Hospital in Rural Southwest Nigeria
AUTHORS:
Deji Ajiboye Akinyosoye, Ekundayo Ayegbusi Oluwole, Foyeke Abdur-Rahim Zainab, Emmanuel Babalola Olajide, Olubunmi Omopariola Samuel, Abayomi Ojo, Akintunde Olusegun Fehintola, Tuesday Owolabi Alexander
KEYWORDS:
Acquired Gynaetresia, Corrosive Pessary, Genital Fistula, Dyspareunia, Vaginoplasty, Obstructed Labour, Hysterectomy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.3,
March
20,
2026
ABSTRACT: Objective: To determine the total number of cases with acquired gynaetresia seen at the facility within the stated period and outline the demographic and clinical characteristics of the women. Materials and Methods: All women who presented with acquired gynaetresia, between January 2019 and December 2024 at Wesley guild hospital, a unit of Obafemi Awolowo University teaching hospitals complex, in Ilesa, Southwest Nigeria. A structured questionnaire was used to collect the data. This was processed using Microsoft excel with descriptive statistics. Results: During the period under review, forty-four women were seen at the gynaecological outpatient clinic with diagnosis of acquired gynaetresia out of a total of 935 women with various gynaecological conditions making a prevalence of 4.7%. Approximately 57% of the patients had stenosis following insertion of corrosive pessaries, there was also secondary infertility in these women who used corrosive pessaries. Seven of the patients who had gynaetresia, also had vesicovaginal fistula and there were two cases of rectovaginal fistula. They all had surgery done, 75% had improvement at first attempt, with improved ability to achieve peno-vaginal intercourse. The remaining 25% had varying other procedures done at different timelines based on the associated complications they had. Conclusion: Acquired gynaetresia is increasingly becoming a major concern in gynaecological practice especially with the increasing use of corrosive pessaries.